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Pancreatic Pseudocyst, Pediatric

Amit S. Grover, MB BCh BAO, MSc Reviewed 10/2018
 


BASICS

  • 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 ...

DIAGNOSIS

HISTORY

Acute or chronic pancreatitis 
  • Suspect pancreatic pseudocyst in patients recovering from acute pancreatitis, or in the patient with chronic pancreatitis, who has recurrent/persistent a...

TREATMENT

GENERAL MEASURES

  • 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...

ONGOING CARE

PROGNOSIS

Majority of pseudocysts resolve without intervention. 

COMPLICATIONS

  • Perforation/rupture

    • Cardiopulmonary compromise secondary to pleural effusion and ascites

    • Peritonitis and ascites,...

ADDITIONAL READING

  • 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...

CODES

ICD9

577.2 Cyst and pseudocyst of pancreas 

ICD10

K86.3 Pseudocyst of pancreas 

SNOMED

  • 111374002 pseudocyst of pancreas (disorder)

  • 405563007 Infected pancreatic pseudocyst (disorder)

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