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Case Reports in Surgery
Volume 2016, Article ID 7056567, 3 pages
http://dx.doi.org/10.1155/2016/7056567
Case Report

Spontaneous Rupture of Pancreatic Pseudocyst: Report of Two Cases

Surgery Department, Cirurgia B, Hospital Prof. Dr. Fernando Fonseca, 2720-276 Amadora, Portugal

Received 28 January 2016; Accepted 2 March 2016

Academic Editor: Oded Olsha

Copyright © 2016 Ricardo Rocha et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Introduction. Pancreatic pseudocysts are a common complication of acute pancreatitis. Pancreatic pseudocyst’s natural history ranges between its spontaneous regression and the settlement of serious complications if untreated, such as splenic complications, hemorrhage, infection, biliary complications, portal hypertension, and rupture. The rupture of a pancreatic pseudocyst to the peritoneal cavity is a dangerous complication leading to severe peritonitis and septic conditions. It requires emergent surgical exploration that is often of great technical difficulty and with important morbidity and mortality. Case Study. We present two cases of spontaneous rupture of pancreatic pseudocysts, managed differently according to the local and systemic conditions. Conclusion. The best surgical choice is the internal drainage of the cyst to the GI tract; however, in some conditions, the external drainage is the only choice available.