Pancreatic pseudocyst

Pancreatic pseudocysts are fluid collections around the pancreas, which are more common in chronic pancreatitis than in acute pancreatitis.
Symptoms of pseudocysts are

  • Pain abdomen
  • Jaundice
  • Vomiting
  • Fever in the case of infected pseudocyst
  • Decrease in hemoglobin in case of bleed in cyst

Treatment options are

  • Asymptomatic cysts can be followed up
  • Cysts which are decreasing in size usually does not require treatment
  • Endoscopic or EUS guided drainage is done for symptomatic or persistent/enlarging pseudocysts
  • Percutaneous drainage is reserved for cysts not amenable to endoscopic drainage

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