Novel technique in the management of obstructive jaundice caused by pancreatic pseudocyst

Abstract

Gautham Krishnamurthy, Venkatesh Gottumukala, A Rajendran, P Darwin

Pancreatic pseudocysts are a well-known complication of acute and chronic pancreatitis. The presenting feature of these can be of the pseudocyst per se or due to their complication. Obstructive jaundice caused by a pancreatic pseudocyst has been attributed to various reasons, the most common being an intrapancreatic stricture of the common bile duct. We present a case of a 32-year-old male with a pseudocyst of the pancreas complicated by obstructive jaundice. He was treated by performing choledocho-pseudocystostomy and cystoduodenostomy. The patient made an uneventful recovery. The method adopted provided adequate internal drainage of the pseudocyst content and bile. To our knowledge this is the first time that such an anastomosis is being reported in English literature.