A pancreatic pseudocyst is a peripancreatic (or intrapancreatic) fluid collection associated with a history of pancreatitis, that is surrounded by a well-defined inflammatory wall and that has ...
Suspect pancreatic pseudocyst in patients recovering from acute pancreatitis, or in the patient with chronic pancreatitis, who has recurrent/persistent a...
Medical management:
Most cases resolve with supportive care.
If eating precipitates pain, short-term nasojejunal feedings or parenteral nutrition may be warranted.
Follow up wit...
Perforation/rupture
Cardiopulmonary compromise secondary to pleural effusion and ascites
Peritonitis and ascites,...
Law NM, Freeman ML. Emergency complications of acute and chronic pancreatitis. Gastroenterol Clin North Am. 2003;32(4):1169–1194. [View Abstract on OvidInsights]
Reber HA. Surg...
111374002 pseudocyst of pancreas (disorder)
405563007 Infected pancreatic pseudocyst (disorder)
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FIG. 3.60. Pancreatic pseudocyst. <bold>A:</bold> Fat-suppressed, non–contrast-enhanced T1-weighted image shows high signal intensity collection (<italic>arrow</bold>) near tail of pancreas consistent with fluid containing blood products. <bold>B:</bold> Respiratory triggered T2-weighted image shows collection (<italic>arrow</bold>) to be very high signal intensity. Note gallstone (<italic>arrowhead</bold>). Hemorrhagic pseudocyst found at surgery.
FIG. 3.60. Pancreatic pseudocyst. <bold>A:</bold> Fat-suppressed, non–contrast-enhanced T1-weighted image shows high signal in...
<bold>Fig C 26-4 Mediastinal pancreatic pseudocyst.</bold> Unenhanced scan of the upper abdomen in a young man with acute pancreatitis demonstrates a periaortic fluid collection (long arrow) displacing the esophagus (short arrow) anteriorly.<sup>40</sup>
<bold>Fig C 26-4 Mediastinal pancreatic pseudocyst.</bold> Unenhanced scan of the upper abdomen in a young man with acute panc...
<bold>Fig GI 53-2 Pancreatic pseudocyst.</bold> A rim of calcification outlines the wall of the pseudocyst.
<bold>FIGURE 40-20</bold> Pancreatic pseudocyst. A cystic cavity arises from the head of the pancreas.
<bold>Figure 7.2. Pancreatic pseudocyst. A.</bold> Computed tomography (CT) image shows the pseudocyst (<i>P</i>) in the tail of the pancreas. <bold>B.</bold> Image slightly more distal shows multilocular pseudocysts surrounding the lateral aspect of the spleen.
<bold>Figure 7.2. Pancreatic pseudocyst. A.</bold> Computed tomography (CT) image shows the pseudocyst (<i>P</i>) ...
<bold>Figure 8.62. Pancreatic pseudocysts. A.</bold> CT image shows a large pseudocyst (<i>P</i>) compressing the posterior gastric wall (<i>arrow</i>). <bold>B and C.</bold> Pseudocyst (<i>P</i>) in another patient with ascites (<i>A</i>). <bold>C.</bold> Pseudocyst (<i>P</i>) in another patient with ascites (<i>A</i>). <bold>D.</bold> Sagittal reconstructed CT image shows the pseudocyst (<i&...
<bold>Figure 8.62. Pancreatic pseudocysts. A.</bold> CT image shows a large pseudocyst (<i>P</i>) compressing the ...
Pancreatic pseudocyst. A cystic cavity arises from the head of the pancreas.