Review for 10.1186/s12876-018-0781-3 (2018)

Reviewer ’s report  
 
Title:  WIRSUNG ATRAUMATIC RUPTURE IN PATIENT WITH PANCREATIC 
PSEUDOCYSTS. A CASE PR ESENTATION  
 
Version: 0 Date: 29 Jan 2018 
 
Reviewer:  Vanessa M.  Shami  
 
Reviewer’s report:  
 
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The case report entitled "Wirsung atraumatic rupture in patient with pancreatic pseudocysts: A 
case report" by Gerosa et al. describes an unusual pr esentation of pancreatic duct leak. While 
interesting, the readability of the report is limited by its grammar. I would recommend that the 
report get edited and then resubmitted for consideration.  
 
On page 5, the authors state that the patient did not pre sent with severe abdominal pain. Did he 
present with any abdominal pain? Please specify.  
 
On page 6, the authors report that EUS -FNA "ruled out the presence of neoplastic cells". It may 
be that the cytology was negative, but EUS would not rule out cancer i n any cystic lesion with 
100% specificity. Consider rephrasing.  
 
On page 8, the authors state that "In our case jaundice and upper gastrointestinal compression 
imposed an operative approach"... what do the author mean? Please clarify. Compression or 
jaundice alone would not eliminate endoscopic drainage as a good and vi able option. Please 
clarify what was meant in the above statement. Additionally the authors on patient 9 state 
"Finally a reduced experience in pseudocysts endoscopic drainage with EUS guidance at our 
institution made surgical treatment more reliable"... s o was surgery performed because that is 
how pseudocysts are managed at the authors institution? If so, that is fine, however I would not 
justify the surgical approach because of luminal compression or jaundice in that case.  
 
Are the methods appropriate and well described?  
If not, please specify what is required in your comments to the authors.  
 
Unable to assess  
 
Does the work include the necessary controls?  
If not, please specify which controls are required in your comments to the authors.  
 
Unable to assess  
 
Are the conclusions drawn adequately supported by the data shown?  
If not, please explain in your comments to the authors.  
 
Unable to assess  
 
Are you able to assess any statistics in the manuscript or would you recommend an 
additional statistical review?  
If an addi tional statistical review is recommended, please specify what aspects require further 
assessment in your comments to the editors.  
 
Not relevant to this manuscript  
 
Quality of written English  
Please indicate the quality of language in the manuscript:  
 
Not suitable for p ublication unless extensively edited  
 
Declaration of competing interests  
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4. Have you received reimbursements, fees, funding, or salary from an organization that 
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5. Do you have any other financial competing interests?  
 
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