Pseudocyst Pancreas: Causes, Symptoms, Diagnosis & Treatment

Pseudocyst Pancreas occur most commonly following acute pancreatitis. It occurs in chronic pancreatitis also. It is fluid collection around peri-pancreatic tissue. Following acute pancreatitis there is disruption in pancreatic duct which causes pancreatic juice to accumulate around pancreas and pseudocyst is formed. It is called as pseudocyst as there is no definitive lining of the cyst. Most of the pancreatic pseudocyts resolve following acute pancreatitis. A very few cysts persists and increase in size and causes various symptoms depending on the locations.

Diagnosis of Pseudocyst Pancreas

Ultrasound is the fist investigation as it is non-invasive and readily available. Ultrasound will detect pseudocyst, its size and relation to surrounding structures. MRI is the investigation of choice to choose the management part. If MRI show that cyst contents are predominantly liquid that endoscopic drainage is done. If there is solid component in the cyst on MRI, then surgical drainage is best


When the pseudocyst compress over the surrounding structures it causes symptoms. Symptoms include pain when pseudocyst increases in size. It causes vomitting when it compress over the stomach and duodenum

Surgical Management of Pseudocyst Pancreas

When the contents of the cyst are solid, Surgical management is the treatment of choice. Depending on the location of cyst either cysto-gastrostomy or cysto-jejunostomy is done. Cysto-duodenostomy is rarely done. These surgical procedures are now most commonly done by means of laparoscopy. Advantage of laparoscopy being minimal incision, less pain in the post-operative period and early recovery

Endoscopic Management of Pseudocyst Pancreas

When the cyst content is mainly in liquid form, Endoscopic management is treatment of choice. The most commonly endoscopic procedure performed is endoscopic cysto-gastrostomy

Dr Amit Jain MS MCh (GI Surgery) is best Gastrosurgeon in Delhi Noida Ghaziabad.Whatsapp your queries on 7351088686. Visit our website to know more Pseudocyst Pancreas and its management

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