Pseudocyst of the Pancreas

Published on 22/03/2015 by admin

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Last modified 22/03/2015

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Chapter 344 Pseudocyst of the Pancreas

Steven L. Werlin

Pancreatic pseudocyst formation is an uncommon sequela to acute or chronic pancreatitis. Pseudocysts are sacs delineated by a fibrous wall in the lesser peritoneal sac. They can enlarge or extend in almost any direction, thus producing a wide variety of symptoms (see Fig. 343-1C).

A pancreatic pseudocyst is suggested when an episode of pancreatitis fails to resolve or when a mass develops after an episode of pancreatitis. Clinical features usually include pain, nausea, and vomiting, but many patients are asymptomatic. The most common signs are a palpable mass in 50% of patients and jaundice in 10%. Other findings include ascites and pleural effusions (usually left-sided).

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