A Case of Giant Pancreatic Pseudocyst after Acute Pancreatitis Successfully Treated with Saikokeishitokabushi / 日本東洋医学雑誌

ABSTRACT

We report a case of giant pancreatic pseudocyst after acute pancreatitis, successfully treated with saikokeishitokabushi. A 71-year-old man had been undergoing treatment in our hospital for cerebral infarction and diabetes. He was complicated with acute pancreatitis. He received conservative treatment, showing a tendency toward symptomatic improvement, although abdominal pain and anorexia subsequently developed. A giant pancreatic pseudocyst was identified on abdominal computed tomography. Therefore, we administered saikokeishitokabushi without changing the other oral medication. Many of his symptoms disappeared, and cyst reduction was noted. saikokeishitokabushi is generally prescribed for epigastric pain or anorexia after febrile illness. In this case, it is thought that saikokeishitokabushi exhibited an action leading to cyst reduction.