ABSTRACT
Five cases of pancreatic pseudocyst are presented with unusual manifestations. Clinical features of each entity are discussed to enable one to diagnose the rare manifestations and complications of pancreatic pseudocyst. Reasonable understanding of such cases enables accurate diagnostic work-up for confirmation and early surgical intervention.
Subject(s)
Pancreatic Cyst/diagnosis , Adult , Ascites/etiology , Cholestasis/etiology , Diagnosis, Differential , Female , Humans , Male , Middle Aged , Pancreatic Cyst/complications , Pancreatic Cyst/surgery , Rupture, SpontaneousABSTRACT
A 76-year-old man presented with hypoglycemic coma associated with metastatic liver disease. Serum immunoreactive insulin excluded insulinoma as a cause of hypoglycemia. Negative glucose responses to glucagon and epinephrine testing indicated failure of compensatory glycogenolysis. The patient's increased glucose requirements of 500 g per 24 hr were reduced to normal only after shrinkage of the liver tumor bulk was accomplished with chemotherapy. Hepatic hypoglycemia is discussed and the literature is reviewed.
