Pseudopancreatic cyst/WON
HTN, T2DM, DKA, sepsis,chronic pancreatitis- WON/Pseudo-pancreatic cyst under Ix Chief Complaints A 50 yr old female attended Emergency with SOB, 3 episodes of vomiting and unable to pass stool since 3 days. No associated chest pain,fever, cough, dysuria, abdominal pain etc. K/C/O HTN, T2DM- Drug defaulter and taking ayurvedic medicine since long time for unknown cause. No past H/O Thyroid disorder, substance abuse, operative history and Normal Menstrual cycle. Past H/O Acute pancreatitis few months back. O/E pt was dyspenic . Pallor present, rest general examination was normal. Systemic Examination was normal except palpable non tender mass in abdomen which was not so Obvious. Routine Ix were done showing Hyperglycemia with ketone body positive in urine, Raised TLC, raised BP of 180/80.CRP positive, raised ESR, few yeast cells in urine, raised HbA1C of 11,normal Amylase n lipase level. Usg W/A suggestive of Pancreatic mass with surrounding Edema. Conservative management has been started n CECT Abdomen has been planned.
Yes pancreatic mass is likely malignant tumor Past episode of acute pancreatitis do give rise pseudo pancreatc cyst A c/o hyperglycemia with positive ketone bodies and hba1c 11 is suggestive of DKA Mx will to correct DKA and control of diabetes with insulin Broadspectrum antibiotics inj piperacillin+inj tazobactum Inj Ceftriaxozone Inj dexamethasone Inj lasix Mass biopsy is advisable
A case of Pancreatic mass with surrounding oedema in a case of Chronic Pancreatitis. The possibilities could be 1 pseudo pancreatic cyst 2.Pancreatic tumour Further investigations required are 1.CECT abdomen 2.A MRCP
Cases that would interest you
- Login to View the image
hello doctors .. dis case is of my father's sister so plz help me n suggest me d management a female age 68 yrs having d c/o bloating of stomach ; weakness ,no appetite, hyperglycemic patient ... reports r uploaded... doctor had advised for operate... patient does not will to operate plzz do needful
Dr. Sam Asif3 Likes14 Answers - Login to View the image
Age 28 male DTM with Pancreatitis, stomach burning sensation Lab tests shows : Hyperglycemia RBS 350. high level of amylase and high lipase levels HBA1C 10 Kindly do assist further Dx & Rx treatment for amylase & lipase
Dr. Suresh Sankabar0 Like12 Answers - Login to View the image
A 50 years old female known Diabetic,Hypertensive patient got presented in ED with complaints of pain in whole abdomen since 3 days,fever of n on,abdominal discomfort,fatigue,restlessness O/e - CNS- patient conscious oriented. Cvs-S1S2 normal,Chest-B/clear,P/A-Distented,normally passing flatus n stool Bp-150/90mmhg,PR-120/mt,Sp02-maintain,RbS- 191mg/dl,Temp-100°F.A CECT whole abdomen was done with routine investigations.Need expert opine?
Dr. Prashant Ved2 Likes11 Answers - Login to View the image
45 year old alcoholic male who has had episodes of acute pancreatitis in the past, presented with severe abdominal pain and weight loss for last 3 months. CT film attached below. Lets discuss cause and management
Dr. Sagarika Sharma0 Like19 Answers - Login to View the image
A 65 year old man presented with a history of sudden onset of abdominal pain radiating to back. He is a heavy alcoholic since 15 years. You observe the following on abdominal
Dr. Prashant Vedwan10 Likes48 Answers
1 Like