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Spontaneous Resolution Of Pancreatic Masses (pseudocysts?); Development And Disappearance After Acute Alcoholic Pancreatitis

Czaja et al., 1975Other/Unknown

Archives of Internal Medicine 135: April 1975; 558-562

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Abstract

Six cases are reported in which spontaneous internal drainage between a pancreatic pseudocyst and the alimentary tract became established. In each instance the communication was demonstrated radiologically. The clinical circumstances and radiographic features of these cases are described, and the existing literature pertaining to this phenomenon is reviewed.

Case Details

Personal Characteristics

37-year-old alcoholic

Clinical Characteristics

Chest and epigastric pains, bronchial breathing in the right side of the chest and epigastric tenderness, abscess in the middle lobe of the right lung, upward displacement of the gastric bubble, upward and medial displacement of the stomach and downward displacement of the transverse colon and the splenic flexure

Remission Characteristics

Two months later, the abnormal abdominal findings had disappeared. Serial x-ray films of the upper portion of the gastrointestinal tract disclosed a normal stomach contour and normal gastric and colon position; findings of barium enema examination were normal.

Treatment & Mechanisms

Proposed Remission Mechanisms

Not discussed

Additional Notes

He left the hospital fully recovered.