DOUBLE BYPASS IN A PATIENT WITH PANCREATIC PSEUDOCYST COMPLICATED WITH OBSTRUCTIVE JAUNDICE AND DUODENAL STENOSIS
Abstract:
Pancreatic pseudocysts are a well-known complication of acute or chronic pancreatitis, with a
higher incidence in the latter. There are different therapeutic strategies: endoscopic transpapillary or
transmural drainage, percutaneous catheter drainage, laparoscopic or open surgery. We present a 47-
year old patient presented with progressive dysphagia, abdominal pain, early satiety, and nausea during
the previous 3 months. In the last month jaundice occurred. Presence of pancreatic pseudocyst in the
head of the pancreas of 62 mm was demonstrated by computed tomography. Jaundice caused by the
pseudocyst in which compressed the distal common bile duct is presented. A precolic Roux-en Y
cystojejunostomy was performed. The same jejunal limb was used for the choledocojejunostomy.
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