technetium-tc-99m-sulfur-colloid and Pancreatic-Cyst

Hemorrhage into a pancreatic pseudocyst frequently goes unrecognized. This catastrophic event can be heralded by intermittent bleeding, or may present as massive gastrointestinal hemorrhage. A high index of suspicion, proper diagnostic workup, and prompt surgical management afford the patient the best chance for survival. We report a patient with massive pseudocyst bleeding into the gastrointestinal tract via the duct of Santorini and discuss the current diagnostic and therapeutic approach.

Topics: Cholangiopancreatography, Endoscopic Retrograde; Drainage; Gastrointestinal Hemorrhage; Gastroscopy; Humans; Male; Middle Aged; Pancreatic Cyst; Pancreatic Pseudocyst; Sodium Pertechnetate Tc 99m; Technetium Tc 99m Sulfur Colloid; Tomography, Emission-Computed

An intrasplenic pancreatic pseudocyst may mimic a subcapsular splenic hematoma. Misdiagnosis of this entity may have serious consequences. Particular care should be taken when a patient presents with a cystic mass in the region of the spleen and a history of chronic alcohol abuse, regardless of the presence or absence of a history of a traumatic episode. Thin-needle aspiration is the current diagnostic modality of choice. A high fluid amylase level establishes the diagnosis of an intrasplenic pancreatic pseudocyst.

Topics: Adult; Amylases; Colloids; Diagnosis, Differential; Drainage; Hematoma; Humans; Inhalation; Male; Pancreatic Cyst; Pancreatic Juice; Pancreatic Pseudocyst; Radionuclide Imaging; Spleen; Splenic Diseases; Sulfur; Technetium; Technetium Tc 99m Sulfur Colloid; Tomography, X-Ray Computed

Topics: Adult; Biopsy; Diagnosis, Differential; Female; Humans; Liver Neoplasms; Pancreatic Cyst; Pancreatic Pseudocyst; Radiography; Radionuclide Imaging; Sulfur; Technetium; Technetium Tc 99m Sulfur Colloid