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