Acta Med. 2021, 64: 55-59

https://doi.org/10.14712/18059694.2021.10

Peritoneal Pseudocyst Causing Acute Abdomen as a Complication of Cronh’s Disease

Christos Damaskosa, Nikolaos Garmpisb, Anna Garmpic, Aliki Liakead, Dimitrios Mantasb

aRenal Transplantation Unit, Laiko General Hospital, Athens, Greece
bSecond Department of Propedeutic Surgery, Laiko General Hospital, Medical School, National and Kapodistrian University of Athens, Athens, Greece
cFirst Department of Propedeutic Internal Medicine, Laiko General Hospital, Medical School, National and Kapodistrian University of Athens, Athens, Greece
dFirst Department of Pathology, Medical School, National and Kapodistrian University of Athens, Athens, Greece

Received November 1, 2019
Accepted November 10, 2020

Peritoneal pseudocysts (PPs) in patients who are diagnosed with Crohn’s disease (CD), is a rarely diagnosed entity with unknown epidemiology, etiology and pathogenesis. We present the case of a 30-year old male with known CD who presented with an acute abdomen because of a PP. PPs are developed as a complication caused in patients, suffering from mainly thee conditions. Firstly, PPs appear in patients with continuous ambulatory peritoneal dialysis (CAPD), they are also developed in patients with peritoneal trauma and finally in CD patients. Our case belongs to these three reported cases in our literature review, since it refers to a CD patient that developed PPs. He underwent emergency laparotomy and excision of the cyst, with good postoperative results. A literature review of 22 publications show that PPs often represent a diagnostic and therapeutic problem as it has a variable presentation and there are no data on what the best treatment option is – surgical excision or aspiration.

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