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Case Reports: Rare disease
Pancreatitis with infected pseudocyst presenting as a prevertebral abscess with spontaneous rupture into the oesophagus
  1. Madan Shivakumar,
  2. Sagar Prakash,
  3. Oseen Hajilal Shaikh and
  4. Uday Shamrao Kumbhar
  1. Surgery, Jawaharlal Institute of Postgraduate Medical Education, Puducherry, Pondicherry, India
  1. Correspondence to Professor Uday Shamrao Kumbhar; k26uday74{at}yahoo.co.in

Abstract

The development of a prevertebral abscess due to an infected pancreatic pseudocyst and its spontaneous rupture into the oesophagus is a rare complication. We report a man who presented with odynophagia, dyspnoea and abdominal pain. Contrast-enhanced CT showed evidence of pancreatitis and a prevertebral space abscess communicating with the pancreas through the oesophageal hiatus. The patient was diagnosed to have a prevertebral abscess with chronic pancreatitis. Surgical drainage was planned, but the patient died of spontaneous drainage of the prevertebral abscess into the oesophagus and aspiration of the collection into the lungs.

  • Gastrointestinal system
  • Infection (gastroenterology)
  • Pancreatitis

https://doi.org/10.1136/bcr-2022-252950

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    Footnotes

    • Contributors Drafting the text, sourcing and editing of clinical images, investigation results, drawing original diagrams and algorithms, and critical revision for important intellectual content: OHS, MS, SP, USK. Final approval of the manuscript: USK.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.