3 METHODS (DIFFERENTIAL DIAGNOSIS, INVESTIGATIONS, AND
TREATMENT)
Contrast-enhanced CT examination of the abdomen and pelvis showed
features of chronic pancreatitis and a large perinephric pseudocyst
which was communicating with a dilated pancreatic duct in the region of
pancreatic tail (Figure 1). This was causing gross compression and
displacement of the left kidney posteromedially and inferiorly with
resultant splaying and significant thinning of the renal parenchyma
(Figure 2).
Subsequently, exploratory laparotomy and cystojejunostomy were done in
which more than two liters of turbid-appearing fluid were suctioned. The
wall of the cyst was sent for histopathology. Microscopic examination
showed fibro-collagenous tissue with a lymphocytic population in a
densely fibrosed background. No epithelial lining was seen in the
entirely submitted cyst wall, confirming the diagnosis of a pseudocyst
(Figure 3).