case_images: PMC6118112_01
case_images: A 35-year-old male with acute-on-chronic pancreatitis with pseudocysts, who presented with abdominal pain and distention with lump in the right lateral abdominal wall. Plain computed tomography scan of the abdomen showing pseudocyst in the right posterior pararenal space (black arrow) extending into the right lumbar triangle (white arrow).
case_images: JCIS-8-33-g002.jpg
case_images: PMC6118112_01_JCIS-8-33-g002.jpg
case_images: F1
case_images: Cyst in the right posterior pararenal space was extending superiorly posterior to the right hepatic lobe which was compressed and displaced anteriorly [Figures 1-3].
case_images: A 35-year-old male with acute-on-chronic pancreatitis with pseudocysts, who presented with abdominal pain and distention with lump in the right lateral abdominal wall. Plain computed tomography scan of the abdomen showing pseudocyst in the right lumbar triangle (black arrow).
case_images: JCIS-8-33-g003.jpg
case_images: PMC6118112_01_JCIS-8-33-g003.jpg
case_images: F2
case_images: Cyst in the right posterior pararenal space was extending superiorly posterior to the right hepatic lobe which was compressed and displaced anteriorly [Figures 1-3].
case_images: A 35-year-old male with acute-on-chronic pancreatitis with pseudocysts, who presented with abdominal pain and distention with lump in the right lateral abdominal wall. Plain computed tomography scan of the abdomen showing (a) pseudocyst in the right ilio-psoas (black arrow) and (b) right obturator externus (white arrow).
case_images: JCIS-8-33-g004.jpg
case_images: PMC6118112_01_JCIS-8-33-g004.jpg
case_images: F3
case_images: Cyst in the right posterior pararenal space was extending superiorly posterior to the right hepatic lobe which was compressed and displaced anteriorly [Figures 1-3].
case_images: A 35-year-old male with acute-on-chronic pancreatitis with pseudocysts, who presented with abdominal pain and distention with lump in the right lateral abdominal wall. Contrast-enhanced computed tomography scan of the abdomen showing pseudocyst in the right posterior pararenal space extending into the right lumbar triangle (black arrow) (a-c) and right ilio-psoas (white arrow) (c and d).
case_images: JCIS-8-33-g005.jpg
case_images: PMC6118112_01_JCIS-8-33-g005.jpg
case_images: F4
case_images: Cyst in the right posterior pararenal space measured approximately 12.4 cm x 8.8 cm, cyst in the right lumbar region measured approximately 16 cm x 12.5 cm, cyst in the right psoas measured approximately 8.5 cm x 6 cm, cyst in the right iliacus measured approximately 8.5 cm x 5.7 cm, cyst in the right obturator externus measured approximately 10.7 cm x 0.9 cm, and cyst in the right upper thigh measured approximately 5.4 cm x 3.4 cm at widest dimensions [Figures 4 and 5].
case_images: A 35-year-old male with acute-on-chronic pancreatitis with pseudocysts, who presented with abdominal pain and distention with lump in the right lateral abdominal wall. Contrast-enhanced computed tomography scan of the abdomen showing pseudocyst in the right psoas muscle (black arrow) and right obturator externus (white arrow).
case_images: JCIS-8-33-g006.jpg
case_images: PMC6118112_01_JCIS-8-33-g006.jpg
case_images: F5
case_images: Cyst in the right posterior pararenal space measured approximately 12.4 cm x 8.8 cm, cyst in the right lumbar region measured approximately 16 cm x 12.5 cm, cyst in the right psoas measured approximately 8.5 cm x 6 cm, cyst in the right iliacus measured approximately 8.5 cm x 5.7 cm, cyst in the right obturator externus measured approximately 10.7 cm x 0.9 cm, and cyst in the right upper thigh measured approximately 5.4 cm x 3.4 cm at widest dimensions [Figures 4 and 5].
case_images: A 35-year-old male with acute-on-chronic pancreatitis with pseudocysts, who presented with abdominal pain and distention with lump in the right lateral abdominal wall. Coronal (a) and sagittal (b) computed tomography scan images showing pseudocyst in the right posterior pararenal space extending through the intercostal space (white arrow) and right lumbar triangle (black arrow).
case_images: JCIS-8-33-g007.jpg
case_images: PMC6118112_01_JCIS-8-33-g007.jpg
case_images: F6
case_images: The findings were suggestive of acute-on-chronic pancreatitis with multiple pseudocysts in the right posterior pararenal space, extending through the right lumbar triangle in the right lateral abdominal wall [Figure 6], right posterior paraspinal muscles, right iliopsoas, right obturator externus, and medial aspect of the right upper thigh, beneath anterior abdominal wall in the upper abdomen. Extension of pseudocyst was also noted between the right 11th and 12th ribs through intercostal space into the adjoining right lateral thoracic wall [Figure 6].