RESUMEN
In chronic pancreatitis, obstructive jaundice solely due to common bile duct compression by a pancreatic pseudocyst is highly unusual. In most of these cases, the jaundice is due to fibrotic stricture of the intrapancreatic portion of the common bile duct. We report two cases of obstructive jaundice in chronic pancreatitis with pseudocyst. Operative findings and follow-up during the postoperative period demonstrated compression by the pseudocyst over the common bile duct as the only etiologic factor of the jaundice. We believe that intraoperative cholangiography should be performed after drainage of a pseudocyst to correctly assess the etiology of obstruction.
Asunto(s)
Colestasis/complicaciones , Ictericia/etiología , Seudoquiste Pancreático/complicaciones , Pancreatitis/etiología , Adulto , Colangiografía , Colecistectomía , Colestasis/cirugía , Enfermedad Crónica , Estudios de Seguimiento , Humanos , Masculino , Persona de Mediana Edad , Seudoquiste Pancreático/cirugíaRESUMEN
En la pancreatitis crónica, la ictericia obstructiva debida únicamente a la compresión de la vía biliar principal por un seudoquiste de páncreas es un hecho muy poco frecuente. En la mayoría de estas ocasiones, la ictericia se debe a la obliteración por fibrosis de la vía biliar intrapancreática. Presentamos 2 casos de ictericia obstructiva en el seno de una pancreatitis crónica, en los cuales los hallazgos operatorios y la evolución postoperatoria demuestran la etiología del seudoquiste como único factor causante de la ictericia. Creemos imprescindible la realización de una colangiografía intraoperatoria tras la descompresión del quiste para poder evaluar correctamente el origen de la obstrucción (AU)
In chronic pancreatitis, obstructive jaundice solely due to common bile duct compression by a pancreatic pseudocyst is highly unusual. In most of these cases, the jaundice is due to fibrotic stricture of the intrapancreatic portion of the common bile duct. We report two cases of obstructive jaundice in chronic pancreatitis with pseudocyst. Operative findings and follow-up during the postoperative period demonstrated compression by the pseudocyst over the common bile duct as the only etiologic factor of the jaundice. We believe that intraoperative cholangiography should be performed after drainage of a pseudocyst to correctly assess the etiology of obstruction (AU)