Giant Pancreatic Pseudocyst after Coronary Artery Bypass Graft in a Hemodialysis Patient: A Case Report
End-stage renal disease (ESRD) patients have a high prevalence of coronary artery disease, and coronary artery bypass graft (CABG) is one of the essential treatments. ESRD patients undergoing CABG surgery have an increased risk of postoperative complications, including acute pancreatitis. Here, we p...
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MDPI AG
2023-10-01
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| Series: | Clinics and Practice |
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| Online Access: | https://www.mdpi.com/2039-7283/13/5/111 |
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| author | Ming-Jen Chan Chun-Yih Hsieh Yi-Jiun Su Chien-Chang Huang Wen-Hung Huang Cheng-Hao Weng Tzung-Hai Yen Ching-Wei Hsu |
| author_facet | Ming-Jen Chan Chun-Yih Hsieh Yi-Jiun Su Chien-Chang Huang Wen-Hung Huang Cheng-Hao Weng Tzung-Hai Yen Ching-Wei Hsu |
| author_sort | Ming-Jen Chan |
| collection | DOAJ |
| description | End-stage renal disease (ESRD) patients have a high prevalence of coronary artery disease, and coronary artery bypass graft (CABG) is one of the essential treatments. ESRD patients undergoing CABG surgery have an increased risk of postoperative complications, including acute pancreatitis. Here, we present the unique case of an exceptionally large pancreatic pseudocyst caused by pancreatitis in an ESRD patient after CABG surgery. A 45-year-old male with ESRD under maintenance hemodialysis received CABG surgery for significant coronary artery disease. Two weeks later, he experienced worsening abdominal pain and a palpable mass was noticed in the epigastric region. Computer tomography revealed an unusually large pseudocyst measuring 21 × 17 cm in the retroperitoneum due to necrotizing pancreatitis. The patient underwent percutaneous cystic drainage, and the symptoms were significantly improved without surgical intervention. Factors such as prolonged cardiopulmonary bypass time, postoperative hypotension, and intradialytic hypotension appeared to have contributed to the development of severe pancreatitis in this case. This report highlights the rarity of a giant pancreatic pseudocyst in an ESRD patient after CABG surgery and emphasizes the importance of vigilant postoperative care. |
| first_indexed | 2024-03-10T21:20:59Z |
| format | Article |
| id | doaj.art-bcc7b7484e924805938f483d7ae16953 |
| institution | Directory Open Access Journal |
| issn | 2039-7283 |
| language | English |
| last_indexed | 2024-03-10T21:20:59Z |
| publishDate | 2023-10-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Clinics and Practice |
| spelling | doaj.art-bcc7b7484e924805938f483d7ae169532023-11-19T16:07:29ZengMDPI AGClinics and Practice2039-72832023-10-011351236124310.3390/clinpract13050111Giant Pancreatic Pseudocyst after Coronary Artery Bypass Graft in a Hemodialysis Patient: A Case ReportMing-Jen Chan0Chun-Yih Hsieh1Yi-Jiun Su2Chien-Chang Huang3Wen-Hung Huang4Cheng-Hao Weng5Tzung-Hai Yen6Ching-Wei Hsu7Department of Nephrology, Clinical Poison Center, Chang Gung Memorial Hospital, Linkou Medical Center, Taoyuan City 333423, TaiwanDepartment of Nephrology, Clinical Poison Center, Chang Gung Memorial Hospital, Linkou Medical Center, Taoyuan City 333423, TaiwanDivision of Hematology-Oncology, Department of Internal Medicine, Linkou Chang Gung Memorial Hospital, Taoyuan City 333423, TaiwanDepartment of Nephrology, Clinical Poison Center, Chang Gung Memorial Hospital, Linkou Medical Center, Taoyuan City 333423, TaiwanDepartment of Nephrology, Clinical Poison Center, Chang Gung Memorial Hospital, Linkou Medical Center, Taoyuan City 333423, TaiwanDepartment of Nephrology, Clinical Poison Center, Chang Gung Memorial Hospital, Linkou Medical Center, Taoyuan City 333423, TaiwanDepartment of Nephrology, Clinical Poison Center, Chang Gung Memorial Hospital, Linkou Medical Center, Taoyuan City 333423, TaiwanDepartment of Nephrology, Clinical Poison Center, Chang Gung Memorial Hospital, Linkou Medical Center, Taoyuan City 333423, TaiwanEnd-stage renal disease (ESRD) patients have a high prevalence of coronary artery disease, and coronary artery bypass graft (CABG) is one of the essential treatments. ESRD patients undergoing CABG surgery have an increased risk of postoperative complications, including acute pancreatitis. Here, we present the unique case of an exceptionally large pancreatic pseudocyst caused by pancreatitis in an ESRD patient after CABG surgery. A 45-year-old male with ESRD under maintenance hemodialysis received CABG surgery for significant coronary artery disease. Two weeks later, he experienced worsening abdominal pain and a palpable mass was noticed in the epigastric region. Computer tomography revealed an unusually large pseudocyst measuring 21 × 17 cm in the retroperitoneum due to necrotizing pancreatitis. The patient underwent percutaneous cystic drainage, and the symptoms were significantly improved without surgical intervention. Factors such as prolonged cardiopulmonary bypass time, postoperative hypotension, and intradialytic hypotension appeared to have contributed to the development of severe pancreatitis in this case. This report highlights the rarity of a giant pancreatic pseudocyst in an ESRD patient after CABG surgery and emphasizes the importance of vigilant postoperative care.https://www.mdpi.com/2039-7283/13/5/111cardiopulmonary bypasscoronary artery bypass graftend-stage renal diseasehemodialysispancreatitispseudocyst |
| spellingShingle | Ming-Jen Chan Chun-Yih Hsieh Yi-Jiun Su Chien-Chang Huang Wen-Hung Huang Cheng-Hao Weng Tzung-Hai Yen Ching-Wei Hsu Giant Pancreatic Pseudocyst after Coronary Artery Bypass Graft in a Hemodialysis Patient: A Case Report Clinics and Practice cardiopulmonary bypass coronary artery bypass graft end-stage renal disease hemodialysis pancreatitis pseudocyst |
| title | Giant Pancreatic Pseudocyst after Coronary Artery Bypass Graft in a Hemodialysis Patient: A Case Report |
| title_full | Giant Pancreatic Pseudocyst after Coronary Artery Bypass Graft in a Hemodialysis Patient: A Case Report |
| title_fullStr | Giant Pancreatic Pseudocyst after Coronary Artery Bypass Graft in a Hemodialysis Patient: A Case Report |
| title_full_unstemmed | Giant Pancreatic Pseudocyst after Coronary Artery Bypass Graft in a Hemodialysis Patient: A Case Report |
| title_short | Giant Pancreatic Pseudocyst after Coronary Artery Bypass Graft in a Hemodialysis Patient: A Case Report |
| title_sort | giant pancreatic pseudocyst after coronary artery bypass graft in a hemodialysis patient a case report |
| topic | cardiopulmonary bypass coronary artery bypass graft end-stage renal disease hemodialysis pancreatitis pseudocyst |
| url | https://www.mdpi.com/2039-7283/13/5/111 |
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