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Non-invasive MR Demonstration of the Fistula between Pancreatic Pseudocyst and Portal Vein: A Case Report

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초록

Pancreatic pseudocyst rupture into the portal vein is a very rare complication and only three reported cases were confirmedusing MRI. We report the case of a 50-year-old man with fistula formation between the pseudocyst and the portalvein, confirmed noninvasively by MRI. T2-weighted MR images and magnetic resonance cholangiopancreatographyshowed fluid signal intensity within the portal, superior mesenteric, and splenic veins, and a direct communicationbetween the pseudocyst and the portal vein.

Abstract

Pancreatic pseudocyst rupture into the portal vein is a very rare complication and only three reported cases were confirmedusing MRI. We report the case of a 50-year-old man with fistula formation between the pseudocyst and the portalvein, confirmed noninvasively by MRI. T2-weighted MR images and magnetic resonance cholangiopancreatographyshowed fluid signal intensity within the portal, superior mesenteric, and splenic veins, and a direct communicationbetween the pseudocyst and the portal vein.

참고문헌 (8)

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  4. Yoon SE, "Spontaneous pancreatic pseudocyst-portal vein fistula presenting with pancreatic ascites: strength of MR cholangiopancreatography", Br J Radiol, 81, pp.e13~e16 (2008)
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  6. Dayala M, "MRI diagnosis of rupture of pancreatic pseudocyst into portal vein:case report and review of literature", Ann Gastroenterol, 27, pp.173~176 (2014)
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  8. Noh R, "A pancreatic pseudocyst-portal vein fistula closed by endoscopic pancreatic stent insertion", Gastrointest Endosc, 72, pp.1103~1105 (2010)

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