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Saxena, Pradeep, Ankit Lalchandani, Tarun Sutrave, and Swastik Bhardwaj. "An atypical presentation of a multiloculated giant pseudocyst of pancreas." International Surgery Journal 8, no. 10 (2021): 3180. http://dx.doi.org/10.18203/2349-2902.isj20214020.
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Giant pseudocysts of the pancreas are rare and difficult to manage. Pseudocysts are usually treated by cystogastrostomy but dependent drainage for giant pseudocysts may require alternative methods like cystojejunostomy. We report here a rare case of a multiloculated giant pseudocyst of pancreas which presented atypically with protrusion through the lesser omentum. The pseudocyst protruding through the lesser omentum filled the whole upper abdomen up to umbilical region and displaced the stomach inferiorly. The stomach which is usually displaced anteriorly by pseudocysts was unusually displaced and splayed on the inferior aspect of the pseudocyst. The anterior wall of the fundus and body of the stomach was adherent to the inferior aspect of the pseudocyst. The pseudocyst was managed by draining into the stomach in a different way by performing a cystogastrostomy to the anterior wall of the stomach. Giant pseudocysts are difficult to manage, and good imaging studies are helpful in selecting surgical options for dependent drainage. Cystogastrostomy on the anterior wall of the stomach is a feasible option to drain pseudocysts which are predominantly overlying and adherent to the anterior wall of the stomach.
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Rocha, Ricardo, Rui Marinho, António Gomes, et al. "Spontaneous Rupture of Pancreatic Pseudocyst: Report of Two Cases." Case Reports in Surgery 2016 (2016): 1–3. http://dx.doi.org/10.1155/2016/7056567.
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Introduction. Pancreatic pseudocysts are a common complication of acute pancreatitis. Pancreatic pseudocyst’s natural history ranges between its spontaneous regression and the settlement of serious complications if untreated, such as splenic complications, hemorrhage, infection, biliary complications, portal hypertension, and rupture. The rupture of a pancreatic pseudocyst to the peritoneal cavity is a dangerous complication leading to severe peritonitis and septic conditions. It requires emergent surgical exploration that is often of great technical difficulty and with important morbidity and mortality.Case Study. We present two cases of spontaneous rupture of pancreatic pseudocysts, managed differently according to the local and systemic conditions.Conclusion. The best surgical choice is the internal drainage of the cyst to the GI tract; however, in some conditions, the external drainage is the only choice available.
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Saber Youness, Ahmed, and Mamoun Mohamed Subhi Barrani. "UNCOMPLICATED SPONTANEOUS RUPTURE OF PANCREATIC PSEUDOCYST INTO DUODENUM: A CASE REPORT." International Journal of Advanced Research 10, no. 10 (2022): 162–67. http://dx.doi.org/10.21474/ijar01/15475.
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Pancreatic pseudocysts arecomplications of acute and chronic pancreatitis. While most pancreatic pseudocysts are asymptomatic and resolve spontaneously. Rarely, it could drain into the adjacent structure being a vessel, gastrointestinal structure, or open abdominal cavity. Rupture pseudocyst may lead to severe hemorrhage or infection. However, few cases of uncomplicated rupture of pseudocysts were reported in the literature. This case is a rare pancreatic pseudocyst ruptured into the duodenum through a fistula and resolved spontaneously without complications.
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Eccles, John, Edward Wiebe, Pernilla D’Souza, and Gurpal Sandha. "Pancreatic pseudocyst-portal vein fistula with refractory hepatic pseudocyst: Two cases treated with EUS cyst-gastrostomy and review of the literature." Endoscopy International Open 07, no. 01 (2019): E83—E86. http://dx.doi.org/10.1055/a-0754-2247.
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Abstract Background and study aims Pseudocysts are the most common pancreatic cystic lesions and they usually develop in association with pancreatitis of at least 4 weeks’ duration. Extra-pancreatic pseudocysts, although reported, are relatively uncommon. Secondary liver pseudocysts are recognized within the literature, and most patients described have required percutaneous or surgical drainage due to infection or symptoms. The mechanism of hepatic pseudocyst formation is not entirely clear but it is postulated that this phenomenon may occur through pseudocyst-portal vein fistulization. We describe two cases of patients presenting with pancreatic pseudocysts invading the portal venous system with embolization of pancreatic fluid to the liver and subsequent hepatic pseudocyst formation. Interestingly, liver pseudocyst resolution was incomplete with antibiotics and percutaneous drainage alone, and only occurred following endoscopic ultrasonography-guided pancreatic cyst-gastrostomy and metal stent insertion. We have reviewed the current literature on the diagnosis and management of pseudocyst-portal vein fistula formation and we believe that our cases represent the first published within the literature to describe this treatment approach.
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Fahri, Yetisir, and Güzel Kerim. "Laparoscopic anterior transgastric cystogastrostomy for the treatment of pancreatic pseudocysts." Annals of Clinical Gastroenterology and Hepatology 4, no. 1 (2020): 006–10. http://dx.doi.org/10.29328/journal.acgh.1001015.
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Introduction: Pancreatic pseudocysts (PPs) are mostly delayed complications of acute or chronic pancreatitis and trauma. Pancreatic pseudocysts are usually managed by supportive medical treatment without surgical procedure. All the surgical interventions (percutaneous, endoscopic or surgical approaches) are based on the location, size, symptoms, complications of the pancreatic pseudocyst and medical condition of the patients. Recently, laparoscopic cystogastrostomy has become most appropriate approach especially for retrogastric pancreatic pseudocysts. In this study, we would like to report results of laparoscopic anterior transgastric cystogastrostomy by using linear articulated endo GIA stapler (Covidien medium thick purple) and versa-lifter (versa lifter®, laparoscopic retractor, manufactured by protomedlabs, France) in 14 pancreatic pseudocysts patients. Methods: We retrospectively analyzed data of patients with pancreatic pseudocysts treated by laparoscopic anterior transgastric cystogastrostomy from September 2010 to October 2014. All of the patients were controlled for the recurrence of pancreatic pseudocysts in February 2017. Results: 14 patients with pancreatic pseudocysts were managed by laparoscopic anterior transgastric cysto-gastrostomy. Conversion was performed in only one patient (7%). There were no symptoms and signs of recurrence of pancreatic pseudocyst during on average 43.6 months follow up time. Conclusion: Laparoscopic cystogastrostomy by using articulated linear endo-GIA stapler and versa-lifter is a safe and effective method for management of appropriate retro-gastric pancreatic pseudocysts.
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Nordback, I., O. Auvinen, I. Airo, J. Isolauri, and O. Teerenhovi. "ERCP in Evaluating The Mode of Therapy in Pancreatic Pseudocyst." HPB Surgery 1, no. 1 (1988): 35–44. http://dx.doi.org/10.1155/1988/47060.
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Twenty patients with ultrasonographic or computed tomographic diagnosis of pancreatic pseudocyst were referred for endoscopic retrograde cholangiopancreatography (ERCP). Two of these were found at laparotomy not to have pseudocysts and were excluded. Pancreatography was successful in 15 out of 18 cases (83%) and cholangiography in 12 out of 18 cases (67%). Three types of pseudocysts were noticed according to the communication of the pseudocyst to the main pancreatic duct and the presence of pancreatic duct stensosis. Successful treatment included two spontaneous resolutions, two internal drainages and three left pancreatic resections. In the eight percutaneous external drainages four recurrences (50%) occurred, one after closure of temporary pancreatocutaneous fistula. All the recurrences occurred in Type III pseudocysts with communication of the pseudocysts to stenotic main pancreatic duct. In these cases internal drainage would have been the preferable treatment method. We believe that by ERCP one can identify pseudocysts not suitable for external drainage.
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Mahajan, Abhishek, Athish Shetty, Bharath Kumar Bhat, and Ganesh Bhat. "Calcified pseudocyst: an uncommon presentation of chronic pancreatitis." BMJ Case Reports 14, no. 9 (2021): e243369. http://dx.doi.org/10.1136/bcr-2021-243369.
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Pseudocysts are localised fluid collections, usually developing as a complication of acute or chronic pancreatitis. Pancreatic ductal or parenchymal calcifications are commonly seen in routine radiological imaging, but calcification of pseudocyst is extremely rare. Calcified pseudocysts have been reported in literature as case reports, but a calcified pseudocyst in the lesser sac, without underlying pancreatic calcification, has not been reported. We report a case of a pancreatic pseudocyst with a calcified wall, requiring surgical excision and histological examination confirming the diagnosis.
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Mutinelli, Franco, Marta Vascellari, and Eliana Schiavon. "Retroperitoneal Perirenal Pseudocyst in a Massese Breed Ram." Journal of Veterinary Diagnostic Investigation 17, no. 3 (2005): 288–90. http://dx.doi.org/10.1177/104063870501700316.
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The macroscopic and microscopic features of a retroperitoneal perirenal pseudocyst in a 12-month-old ram without impairment of renal function are described. In humans and animals, uriniferous pseudocysts may be of traumatic origin, resulting from rupture of kidney, renal pelvis, or ureter, or congenital. Lymphatic pseudocysts may develop secondary to inflammatory obstruction of the hilar lymphatics after perinephritis or renal transplantation. In this case, histologic characteristics of the pseudocyst wall were suggestive of development from the parietal peritoneal layer encapsulating the kidney. This is the first case of retroperitoneal perirenal pseudocyst in a sheep.
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Darlington, C. Danny, and G. Fatima Shirly Anitha. "Ruptured mediastinal pseudocyst- a case report." International Surgery Journal 4, no. 8 (2017): 2865. http://dx.doi.org/10.18203/2349-2902.isj20173438.
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Pseudocysts are one of the common complications of chronic pancreatitis. Usually they present with chronic abdominal pain and obstructive symptoms. The symptomatology mainly correlates with the location of the pseudocysts. Thoracopantreatic pseudocysts are rarely encountered in surgical practice. They can present in the acute setting with hemoptysis or rupture. They can also have an indolent course with dysphagia and other mass effects. We report a rare case of mediastinal pseudocyst with rupture into the bronchus causing massive haemoptysis.
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Nustafaev, R. S., V. B. Margiev, G. S. Shtofin, and S. G. Shtofin. "Surgical treatment of pancreatic pseudocysts and approaches to the treatment of vascular complications in pseudocysts: literature review." Experimental and Clinical Gastroenterology, no. 7 (September 27, 2020): 102–8. http://dx.doi.org/10.31146/1682-8658-ecg-179-7-102-108.
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The therapeutic tactics for pancreatic pseudocysts have changed dramatically over the past decade. Currently, due to the rapid development of minimally invasive technologies, the frequency of their use in the treatment of patients with pseudocysts has become widespread, displacing traditional methods of surgical treatment. Nevertheless, surgical treatment of a pseudocyst is justified when other methods of treatment have been ineffective, namely in the case of recurrence of the pseudocyst, with suspected cystic neoplasia of the pancreas, the presence of stenosis of the common bile duct or duodenum, as well as with complicated cysts. The purpose of this article is a literature review of methods and approaches to the surgical treatment of pancreatic pseudocysts, as well as the treatment of vascular complications in this pathology.
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Djordjevic, Z., S. Knezevic, M. Ceranic, et al. "Procena stepena maturacije zida pseudociste pankreasa u odnosu na izbor operativne procedure." Acta chirurgica Iugoslavica 52, no. 1 (2005): 33–39. http://dx.doi.org/10.2298/aci0501033d.
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The aim of this study is to present our experience in the diagnosis and treatment of pancreatic pseudocysts. A pancreatic pseudocyst is an incapsulated collection of pancreatic juice, enclosed by nonepithelial elements, containing a high concentration of pancreatic enzymes, bicarbonates and necrotic detritus. It is a common complication of acute pancreatitis and trauma of the pancreas. In the period between 1996 and 2001, 53 surgical procedures were performed for pancreatic pseudocyst at the Institute for Digestive Diseases (First Surgical University Hospital), 35 male patients (67%) and 17 female patients (33%) underwent surgery. In 39 (75%) patients the method of choice was cystojejunostomy by Roux. In 4 cases distal pancreatectomy for pseudocysts localized within the pancreatic tail was performed, complete pseudocyst excision only was performed in one case and complete pseudocyst excision combined with cystojejunostomy was also performed in one case. Cystogastrostomy and drainage in one case and partial cystectomy and drainage also in one case. Surgical internal drainage is the method of choice for the treatment of pancreatic pseudocysts, involving low morbidity and mortality rates.
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Nan, Ge, Sun Siyu, Liu Xiang, Wang Sheng, and Wang Guoxin. "Combined EUS-Guided Abdominal Cavity Drainage and Cystogastrostomy for the Ruptured Pancreatic Pseudocyst." Gastroenterology Research and Practice 2013 (2013): 1–5. http://dx.doi.org/10.1155/2013/785483.
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Background. Endoscopic-Ultrasonography- (EUS-) guided puncture and drainage of pancreatic pseudocyst is currently one of the most widely accepted nonsurgical treatments. To date, this technique has only been used for pancreatic pseudocysts adhesive to the gastric wall. This study introduces the technique of EUS-guided pseudocyst drainage and additional EUS-guided peritoneal drainage for the ruptured pseudocyst.Methods. Transmural puncture and drainage of the cyst were performed with a 19 G needle, cystotome, and 10 Fr endoprosthesis. Intraperitoneal drainage was performed with a nasobiliary catheter when rupture of pseudocyst occurred. The entire procedure was guided by the echoendoscope.Results. A total of 21 patients, 8 men and 13 women, with a mean age of 36 years, were included in this prospective study. All of the pseudocysts were successfully drained by EUS. Peritoneal drainage was uneventfully performed in 4 patients. There were no severe complications. Complete pseudocyst resolution was established in all patients.Conclusion. The technique of EUS-guided transmural puncture and drainage, when combined with abdominal cavity drainage by a nasobiliary catheter, allows successful endoscopic management of pancreatic pseudocysts without adherence to gastric wall.
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Krajewski, Andrzej, Gustaw Lech, Marcin Makiewicz, et al. "Infeasibility of endoscopic transmural drainage due to pancreatic pseudocyst wall calcifications - case report." Polish Journal of Surgery 89, no. 1 (2017): 63–67. http://dx.doi.org/10.5604/01.3001.0009.6006.
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Postinflammatory pancreatic pseudocysts are one of the most common complications of acute pancreatitis. In most cases, pseudocysts self-absorb in the course of treatment of pancreatitis. In some patients, pancreatic pseudocysts are symptomatic and cause pain, problems with gastrointestinal transit, and other complications. In such cases, drainage or resection should be performed. Among the invasive methods, mini invasive procedures like endoscopic transmural drainage through the wall of the stomach or duodenum play an important role. For endoscopic transmural drainage, it is necessary that the cyst wall adheres to the stomach or duodenum, making a visible impression. We present a very rare case of infeasibility of endoscopic drainage of a postinflammatory pancreatic pseudocyst, impressing the stomach, due to cyst wall calcifications. A 55-year-old man after acute pancreatitis presented with a 1-year history of epigastric pain and was admitted due to a postinflammatory pseudocyst in the body and tail of pancreas. On admission, blood tests, including CA 19-9 and CEA, were normal. An ultrasound examination revealed a 100-mm pseudocyst in the tail of pancreas, which was confirmed on CT and EUS. Acoustic shadowing caused by cyst wall calcifications made the cyst unavailable to ultrasound assessment and percutaneous drainage. Gastroscopy revealed an impression on the stomach wall from the outside. The patient was scheduled for endoscopic transmural drainage. After insufflation of the stomach, a large mass protruding from the wall was observed. The stomach mucosa was punctured with a cystotome needle knife, and the pancreatic cyst wall was reached. Due to cyst wall calcifications, endoscopic drainage of the cyst was unfeasible. Profuse submucosal bleeding at the puncture site was stopped by placing clips. The patient was scheduled for open surgery, and distal pancreatectomy with splenectomy was performed. The histopathological examination confirmed the initial diagnosis of postinflammatory pancreatic pseudocyst. Endoscopic transmural drainage is a highly effective procedure for treating postinflammatory pancreatic pseudocysts. In some patents, especially with large pseudocysts, pseudocysts with calcified walls, and cysts of primary origin, resection should be performed.
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Farr, Bethany J., Victor L. Fox, and David P. Mooney. "Endoscopic cyst gastrostomy for traumatic pancreatic pseudocysts in children: a case series." Trauma Surgery & Acute Care Open 5, no. 1 (2020): e000456. http://dx.doi.org/10.1136/tsaco-2020-000456.
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BackgroundPancreatic pseudocysts may develop after high-grade pancreatic injuries in children. Many resolve without intervention, and the management of symptomatic pseudocysts that persist remains controversial, with various open, percutaneous and laparoscopic approaches to intervention described. Successful endoscopic cyst gastrostomy has been reported in children with pancreatic pseudocysts of mixed etiology.MethodsThe trauma registry and electronic medical record of a level 1 pediatric trauma center were queried for children with a symptomatic pseudocyst following pancreatic trauma over a 12-year period, from 2008 to 2019.ResultsWe describe a case series of five consecutive children with persistent symptomatic pancreatic pseudocysts following blunt abdominal trauma all successfully treated with endoscopic cyst gastrostomy.DiscussionEndoscopic cyst gastrostomy appears to be safe and effective in the management of symptomatic pancreatic pseudocysts in children following pancreatic trauma.Level of evidence5 – retrospective case series.
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Andrén-Sandberg, Å., C. Ansorge, K. Eiriksson, T. Glomsaker, and A. Maleckas. "Treatment of Pancreatic Pseudocysts." Scandinavian Journal of Surgery 94, no. 2 (2005): 165–75. http://dx.doi.org/10.1177/145749690509400214.
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According to the Atlanta classification an acute pseudocyst is a collection of pancreatic juice enclosed by a wall of fibrous or granulation tissue, which arises as a consequence of acute pancreatitis or pancreatic trauma, whereas a chronic pseudocyst is a collection of pancreatic juice enclosed by a wall of fibrous or granulation tissue, which arises as a consequence of chronic pancreatitis and lack an antecedent episode of acute pancreatitis. It is generally agreed that acute and chronic pseudocysts have a different natural history, though many reports do not differentiate between pseudocysts that complicate acute pancreatitis and those that complicate chronic disease. Observation — “conservative treatment” — of a patient with a pseudocyst is preponderantly based on the knowledge that spontaneous resolution can occur. It must, however, be admitted that there is substantial risk of complications or even death; first of all due to bleeding. There are no randomized studies for the management protocols for pancreatic pseudocysts. Therefore, today we have to rely on best clinical practice, but still certain advice may be given. First of all it is important to differentiate acute from chronic pseudocysts for management, but at the same time not miss cystic neoplasias. Conservative treatment should always be considered the first option (pseudocysts should not be treated just because they are there). However, if intervention is needed, a procedure that is well known should always be considered first. The results of percutaneous or endoscopic drainage are probably more dependent on the experience of the interventionist than the choice of procedure and if surgery is needed, an intern anastomosis can hold sutures not until several weeks (if possible 6 weeks).
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Bhingare, Pravin D., Sanjay D. Dakhore, Sunil B. Wankhade, and Saurabh Lihitkar. "Laparoscopic management of pancreatic pseudocyst: a prospective study." International Surgery Journal 6, no. 4 (2019): 1287. http://dx.doi.org/10.18203/2349-2902.isj20191264.
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Background: Pancreatic pseudocysts can be defined as localized fluid collections that have a nonepithelialized wall consisting of fibrous and granulation tissue. These pseudocysts usually appear several weeks after the onset of pancreatitis. Advancement in the management of pseudocyst with laparoscopic drainage provides a good alternative or supplement to the surgical treatment of pancreatic pseudocyst. The purpose of this study is to evaluate the feasibility, effectiveness and outcome of Laparoscopic drainage.Methods: It was a prospective interventional hospital based study carried out among 32 indoor cases of pancreatic pseudocysts operated using laparoscopic procedures admitted under department of general surgery in a tertiary healthcare teaching institute during study period. Cases of pancreatic pseudocysts were evaluated with detailed history, clinical signs and symptoms, the duration and investigations. Details of laparoscopic, its indications, peculiarities, complications rates, recurrence rate and outcome was analyzed.Results: Single and multiple pancreatic pseudocysts were found in 26 (81.25%) and 6 (18.75%) patients and the most common site was found to be body of pancreas (59.37%). Obstructive jaundice (18.50%) and gastric outlet obstruction (15.63%) were the most common complications seen. The common procedures undertaken in the studied cases were laparoscopic cystogastrostomy (65.62%) followed by laparoscopic cystojejunostomy (12.50%) and laparoscopic external drainage (12.50%). Common complications in studied cases were found to be pain (15.65%), fever (12.5%) and external fistula (6.25%).Conclusions: Laparoscopic technique for treatment of pancreatic pseudocysts is safe, efficacious, feasible and is associated with fast recovery. These techniques should be preferred over open surgical drainage.
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Shanthi, Vissa, Shyam Sundar Rao Byna, and Mohan Rao Nandam. "Giant Adrenal Pseudocyst- A Case Report." International Journal of Research and Review 6, no. 1 (2019): 83–85. https://doi.org/10.5281/zenodo.3984765.
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Adrenal pseudocysts are uncommon lesions which are asymptomatic and have an estimated incidence of 0.064% to 0.18%.Cystic lesions of adrenal may vary from cystic malignant neoplasms to pseudocysts. Adrenal pseudocysts are asymptomatic and are discovered incidentally during radiography or at autopsy. They lack lining epithelium and are surrounded by fibrous tissue. Though the adrenal pseudo cysts have characteristic radiographic appearance, it is difficult to distinguish it from cystic neoplasm of adrenal. We report a case pseudocyst of left adrenal in 30 years female presenting with left lumbar pain
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Chen, P.-P., S.-M. Tsai, H.-M. Wang, et al. "Lactate dehydrogenase isoenzyme patterns in auricular pseudocyst fluid." Journal of Laryngology & Otology 127, no. 5 (2013): 479–82. http://dx.doi.org/10.1017/s0022215113000534.
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AbstractObjective:We investigated lactate dehydrogenase isoenzyme patterns in the cyst fluid of auricular pseudocysts and autogenous blood, to assist the diagnosis of auricular pseudocyst.Methods:Twenty patients with auricular pseudocysts participated in this study conducted in Kaohsiung Medical University Hospital between February 2007 and June 2010. Patterns of lactate dehydrogenase in cyst fluid and autogenous blood were analysed.Results:Levels of lactate dehydrogenase 1 and 2 were lower in auricular pseudocysts than in autogenous blood, whereas levels of lactate dehydrogenase 4 and 5 were higher; this difference was statistically significant (p < 0.001).Conclusion:Lactate dehydrogenase isoenzyme patterns in auricular pseudocyst fluid indicated higher percentage distributions of lactate dehydrogenase 4 and 5 and lower percentage distributions of lactate dehydrogenase 1 and 2. An effective laboratory method of evaluating the different lactate dehydrogenase isoenzyme components was developed; this method may improve the accuracy of auricular pseudocyst diagnosis.
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Lam, Annie Y., and Susan E. Kracke. "Octreotide in the Treatment of Pancreatic Pseudocysts." Journal of Pharmacy Technology 12, no. 4 (1996): 165–68. http://dx.doi.org/10.1177/875512259601200411.
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Objective: To describe the potential use of octreotide in the treatment of pancreatic pseudocysts through a brief review of anecdotal case reports. Case Summary: Octreotide has been used in a few patients to effectively inhibit pancreatic secretions and shrink the size of persistently draining pseudocysts. The dosage of octreotide is 100–200 μg bid or tid sc, for up to 36 days or until resolution of the pseudocysts is achieved. Discussion: Persistent pancreatic pseudocysts of varying size and duration have been successfully treated with the use of octreotide. Larger pseudocysts, which are unlikely to resolve spontaneously, may remain unresolved with the use of octreotide and may still require conventional surgical intervention. The use of octreotide in such cases, however, may still be beneficial. Shrinkage of the pseudocysts, even without complete resolution, may result in reduction of pain and may prevent other complications that often accompany the unresolved pseudocysts. Conclusions: Anecdotal reports suggest that octreotide may be useful as a noninvasive alternative or adjunct to traditional surgical treatment of pancreatic pseudocysts. Further research with well-designed studies involving randomized comparative controls are necessary to correlate the degree of pseudocyst shrinkage with the dosage and duration of octreotide therapy. The apparent effectiveness of octreotide in reducing the size of persistent pancreatic pseudocysts and providing pain relief suggests that it may be a useful adjunct to surgical interventions. With smaller persistent pseudocysts, octreotide may be a treatment alternative to surgery.
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Alfallaj, Ibrahim, Ahmad Salati, and Riaz Malik. "Abdominal pseudocyst due to ventriculoperitoneal shunt: An uncommon complication of a common neurosurgical procedure." Sanamed, no. 00 (2025): 79. https://doi.org/10.5937/sanamed0-55965.
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For over a century, the ventriculoperitoneal shunt has been a standard neurosurgical procedure for treating hydrocephalus. However, this procedure is associated with a variety of complications. One uncommon but notable complication is the abdominal cerebrospinal fluid (CSF) pseudocyst. This pseudocyst is histologically characterized by a fibrous wall devoid of an epithelial lining, and its exact etiopathogenesis remains unclear. Patients with abdominal CSF pseudocysts often present with nonspecific symptoms, and treatment is tailored to each individual's clinical situation. This article reviews the epidemiology, etiopathogenesis, clinical characteristics, histology, imaging features, and available treatment options for abdominal CSF pseudocysts.
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Placer, Margaret Amparo, and Cindy McManis. "Laparoscopic resection of bilateral perinephric pseudocyst in a pediatric feline patient." Journal of Feline Medicine and Surgery Open Reports 5, no. 1 (2019): 205511691985064. http://dx.doi.org/10.1177/2055116919850646.
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Case summary A 6-month-old male domestic shorthair cat presenting with abdominal distension and an acute history of renal azotemia was diagnosed with bilateral perinephric pseudocysts and International Renal Interest Society (IRIS) grade 3 acute kidney injury. Ultrasound-guided drainage of the cysts was performed initially; bilateral subtotal resection of the perinephric pseudocysts was later performed using laparoscopy as a more long-term solution. There was no regrowth or reformation of the perinephric pseudocysts 1 year after the procedure, and the cat remained in IRIS stage 2 chronic kidney disease 1 year postoperatively. Relevance and novel information Compared with traditional surgical approaches, laparoscopic resection of perinephric pseudocysts provides a less invasive approach. Bilateral perinephric pseudocyst in a pediatric feline patient (and associated treatment) has not previously been documented in the literature.
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Gouyon, B., P. Lévy, P. Ruszniewski, et al. "Predictive factors in the outcome of pseudocysts complicating alcoholic chronic pancreatitis." Gut 41, no. 6 (1997): 821–25. http://dx.doi.org/10.1136/gut.41.6.821.
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Aims—To determine the clinical, biochemical, and/or morphological features which could predict the need for treatment of pseudocysts at diagnosis in a homogeneous population of patients with alcoholic chronic pancreatitis.Methods—Between January 1983 and December 1993, all patients followed for alcoholic chronic pancreatitis complicated by pseudocysts and confirmed by computed tomography (CT) scan at diagnosis were studied retrospectively. Two groups of pseudocysts were considered according to their pattern of evolution and the therapeutic requirements. Group I included 45 pseudocysts that regressed spontaneously (25 patients) or that persisted without symptoms (20 patients). Group II included 45 pseudocysts with persisting symptoms or complications, requiring surgical or non-surgical treatment. The evolution of pseudocysts was monitored by CT scanning or abdominal ultrasound. Initial CT scans of all patients were reviewed by an experienced radiologist. For each patient with pseudocysts, the following morphological parameters were recorded: number of pseudocysts, maximal diameter, location, intrapancreatic or extrapancreatic development, complications related to the pseudocyst, pancreatic calcifications, enlargement of the main pancreatic duct, and signs of recent acute pancreatitis. Univariate analysis, and then multivariate analysis with all significant variables on univariate analysis were performed.Results—On univariate analysis, location of pseudocysts in the pancreatic head and intrapancreatic development of pseudocysts were significantly more frequent in group I than in group II (78% versus 55%, p<0.02 and 89% versus 60%, p<0.001, respectively). The median diameter of pseudocysts was significantly smaller in group I than in group II (25 (10–110) mm and 40 (10–120) mm respectively, p<0.001). No differences between groups I and II were found for the clinical or biochemical parameters. Multivariate analysis showed that the intrapancreatic development of pseudocysts and a diameter less than 4 cm were the only independent factors associated with a spontaneous and favourable outcome. These factors accounted for 20% of the total variance.Conclusions—Pseudocysts larger than 4 cm and extrapancreatic development can be considered independent predictive factors of persisting symptoms and/or complications in patients with pseudocysts and alcoholic chronic pancreatitis.
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Mah, Deuk-Hyun, Su-Gwan Kim, Ji-Su Oh, et al. "Prognosis of Maxillary Sinus Augmentation in the Presence of Antral Pseudocyst: Case Reports." Journal of The Korean Dental Association 54, no. 10 (2016): 771–79. http://dx.doi.org/10.22974/jkda.2016.54.10.002.
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Purpose: Antral pseudocyst is a common benign lesion that exists in the maxillary sinus. Because of this possible complication, controversy remains with respect to sinus floor elevation operations. The purpose of this study was to analyze the antral pseudocyst related to maxillary sinus augmentation. Patients and Methods: The radiographs of 268 patients who visited Chosun University Dental Hospital from 2008 to 2010 and underwent the maxillary bone grafting procedure were examined. Results: Of the 268 patients who underwent the maxillary bone grafting procedure, 5 patients (1.86%) were diagnosed with antral pseudocysts. In all cases, maxillary sinus floor elevation was performed without aspiration, biopsy or extraction of the antral pseudocyst. Conclusion: Antral pseudocysts are not considered a contraindication for maxillary sinus bone grafting procedure.
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Abdel Tawab, Hazem, and Salim Tabook. "Incision and Drainage with Daily Irrigation for the Treatment of Auricular Pseudocyst." International Archives of Otorhinolaryngology 23, no. 02 (2019): 178–83. http://dx.doi.org/10.1055/s-0038-1676124.
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Introduction Pseudocyst of the pinna is a rare condition that occurs when fluid accumulates in the intercartilagenous space of the auricle. The main goal when treating this condition is to keep acceptable cosmetic results with no recurrence rate. Objective To demonstrate the superior impact of incision and drainage of auricular pseudocysts with the insertion of a catheter drain and daily irrigation as the treatment of this condition. Methods A total of 42 patients with auricular pseudocysts were enrolled in the present study in the period between May 2011 and May 2017. All of the patients were treated with incision and drainage with compression. The average follow-up time reached ∼ 6 months in all of the cases. Results All of the patients had satisfactory cosmetic results with no recurrence and no complications. Conclusion Among the different methods of surgical treatment of pseudocyst of the pinna, incision and drainage with daily irrigation is a significantly efficient method both for the eradication of auricular pseudocysts and for good cosmetic results.
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Nelson, Thirugnanasambandam, Saji Vargheese, Satya Ranjan Patra, and Arnab Saha. "Excision of a giant pseudo-pancreatic cyst masquerading as ascites in young patient: a case report." International Surgery Journal 7, no. 9 (2020): 3149. http://dx.doi.org/10.18203/2349-2902.isj20203814.
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Pancreatic pseudocysts are diagnosed more frequently due to increased usage of imaging techniques. A pseudocyst with diameter of 10 cm is defined as giant cyst. Larger and symptomatic pseudocysts require intervention while cysts upto 6 cm can be managed conservatively. A 16 year old young patient presented with abdominal pain, progressive abdominal distension, and breathlessness for 15 days. On examination, patient had tense distended abdomen with gross ascites. His vitals showed tachycardia, hypotension and tachypnea. After resuscitation, ultrasound showed gross ascites with moving echoes and contrast-enhanced computed tomography (CECT) abdomen showed similar findings. Patient underwent multiple therapeutic tapping of ascitic fluid but no significant improvement. Diagnostic laparoscopy showed giant pseudo pancreatic cyst extending from diaphragm to the pelvis with necrotic material. Patient underwent exploratory laparotomy, drainage of necrotic material with excision of giant pseudocyst and roux-en-y pancreaticojejunostomy. Post operatively patient had an uneventful recovery. Giant pancreatic pseudocysts are unusual and early management is required. Some experts considered external drainage is safer than cystogastrostomy. We suggest early diagnosis and surgical excision is feasible for a giant pancreatic pseudocyst. However, endoscopic drainage can be considered in some instances.
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Dr., P. S. Eswar, Zulekha Bhimani Dr., Pedneker Dr., Mehnish Malik Dr., and Nidhi Shah Dr. "Incidence of Pseudocyst of Pancreas in Patients Diagnosed with Pancreatitis." International Journal of Innovative Science and Research Technology (IJISRT) 10, no. 3 (2025): 19–24. https://doi.org/10.5281/zenodo.14987628.
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Introduction: Pancreatic pseudocysts represent a significant complication of pancreatitis, occurring as encapsulated collections of pancreatic fluid surrounded by fibrous or granulation tissue. While the incidence of pancreatitis is well-documented globally, the development of pseudocysts and their risk factors requires further investigation. Methods: A prospective clinical study was conducted at Dr. D.Y. Patil University, School of Medicine, from November 2021 to November 2022. The study included 100 patients above 18 years with confirmed pancreatitis diagnosis. Initial ultrasonography was performed upon admission, with follow-up imaging scheduled after six weeks. The study analyzed demographic factors, risk factors, and clinical outcomes. Results: The study revealed a 25% overall incidence of pancreatic pseudocysts, with significant gender disparity (34% in males vs. 16% in females, p=0.038). Gallstone disease emerged as a significant risk factor (p=0.020), particularly in males (60% incidence, p=0.002). The highest pseudocyst development rates were observed in acute necrotizing pancreatitis (80%) and acute on chronic pancreatitis (54.5%). History of ERCP showed significant correlation with pseudocyst formation (55.6%, p=0.026). Complications were minimal, with only 2% showing pressure effects and no mortality reported.
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Miyamoto, H., M. Oida, S. Onuma, and M. Uchiyama. "Steroid injection therapy for pseudocyst of the auricle." Acta Dermato-Venereologica 74, no. 2 (1994): 140–42. http://dx.doi.org/10.2340/0001555574143146.
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In our clinic, we encountered 8 patients with pseudocyst of the auricle during a 6-year period from 1987 to 1992 and injected steroid solution locally into the pseudocysts. Three of these patients had no recurrences and 4 were treated successfully after 1-3 recurrences. In only one case was this therapy ineffective. After 11 injections, which resulted in permanent deformity of the auricle, the patient underwent surgery. We believe that local steroid injection therapy should be the first choice method for treating auricular pseudocysts. However, frequent injections can cause auricular deformity and if there are more than 3 recurrences, the pseudocyst should be managed surgically. The lactate dehydrogenase levels of the cystic fluid were determined in 3 of the 8 patients and proved high in only one patient was the etiology of the pseudocyst thought to be associated with minor trauma.
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Yang, Qimin, Bing Li, Bai Jin Tao Sun, Xiangkai Zhong, Zhiqiang Qiu, and Hanfeng Yang. "The CT-guided percutaneous drainage of pancreatic pseudocyst accompanied by pseudoaneurysm: A case report." Medicine 103, no. 10 (2024): e37402. http://dx.doi.org/10.1097/md.0000000000037402.
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Rationale: This case report discusses the CT-guided percutaneous drainage of a pancreatic pseudocyst accompanied by a pseudoaneurysm. Pancreatic pseudocysts can erode the peripancreatic artery and produce pseudoaneurysms. This is rare, but it can be life-threatening. Patient concerns: The case presented involves a 58-year-old female who was diagnosed with pancreatic cancer and underwent surgical treatment. She presented with hematochezia, dizziness, and hypodynamic findings with no obvious cause. Imaging revealed a pancreatic pseudocyst and small arterial aneurysms. To reduce the risk of aneurysm rupture, the patient underwent transcatheter arterial coil embolization. Three days later, CT-guided catheter drainage was performed to reduce the erosion of the arterial wall caused by pancreatic fluid. Diagnoses: The contrast-enhanced-CT imaging showed a round, slightly high-density lesion in the cyst, suggesting the presence of a pseudoaneurysm. Interventions: The patient was sent for another transcatheter arterial embolization with coils and n-butyl-2-cyanoacrylate. Outcomes: After receiving the transcatheter arterial embolization, the patient had no serious bleeding or other complications. Lessons: Early detection and accurate assessment of pseudoaneurysms are essential for appropriate management. This case shows that contrast-enhanced CT is necessary before CT-guided percutaneous drainage of pancreatic pseudocysts. It also shows that, due to the many complications that pancreatic pseudocysts may cause, appropriate treatment of pseudocysts complicated with pseudoaneurysm has important clinical significance.
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Islam, Sardar Rezaul, Shafiqur Rahman, Kamal Pasha, and ASM Sayem. "Laparoscopic Excision of A Rare Retroperitoneal Non-Pancreatic Pseudocyst." Bangladesh Journal of Endosurgery 2, no. 1 (2014): 35–37. http://dx.doi.org/10.3329/bje.v2i1.19592.
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Retroperitoneal cysts (RCs) are rare. They are composed of both epithelial and mesothelial tissues, and those without an epithelial lining in the wall are called pseudocysts. Most retroperitoneal pseudocysts are pancreatic in origin, and nonpancreatic pseudocysts are very rarely reported.We report a case of large cystic lesion adjacent to the left kidney in a 25 years old man. He presented with 2 and half years history of gradual swelling of left upper abdomen. Abdominal ultrasonography and CT scan showed a large unilocular cystic mass in left side of the abdomen, which was attached with the lower pole of the left kidney. The cystic mass was excised laparoscopically. Histology showed a fibrous wall without epithelial lining thus confirming the diagnosis of a nonpancreatic pseudocyst.
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Sokolov, Yu Yu, Artem M. Efremenkov, G. T. Tumanian, et al. "LAPAROSCOPIC PROCEDURES IN CHILDREN WITH PANCREATIC PSEUDOCYSTS." Russian Journal of Pediatric Surgery 23, no. 5 (2019): 243–47. http://dx.doi.org/10.18821/1560-9510-2019-23-5-243-247.
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Introduction. Pancreatic pseudocysts are encapsulated fluid sacs in the omentum having no epithelial lining; they appear in the pancreas after injury and inflammation. Recently, there has appeared a trend to treat pancreatic pseudocysts with laparoscopic surgical interventions. The article describes laparoscopic treatment of pancreatic pseudocysts in 10 children. Objective. To evaluate the effectiveness of laparoscopic interventions in children with pseudocysts in the pancreas. Material and methods. In 2013-2018, 10 laparoscopic surgeries in children, aged 4-17 (5 boys and 5 girls), with pancreatic pseudocysts were performed at the department of pediatric surgery in the Russian Medical Academy of Continuous Professional Education. Indications for surgery were: pancreatic pseudocysts having diameter more than 6 cm and wall thickness more than 3-4 mm, no effect after the conservative therapy , cyst formation more than 3 months, persistent pain syndrome. Results. The choice of a surgical technique was defined by pseudocyst etiology and location. The children had six laparoscopic cystoeunoanastomoses, two partial cystectomies with a distal pancreatojejunoanastomosis and two partial cystectomies with a longitudinal pancreatojejunoanastomosis when the cyst was formed at the chronic pancreatitis. No intraoperative complications were seen. Early postoperative complications occurred in 2 patients: an external pancreatic fistula at the drainage site (1) and intestinal obstruction (1) at the level of the intestinal anastomosis. Conclusion. Laparoscopic surgeries in children with pancreatic pseudocysts are effective and less traumatic. The laparoscopic technique allows to make a complete revision, to perform sequestrnecrectomy , if necessary, as well as to take the material for histological examination and to ensure a reliable long-term drainage.
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Durleshter, V. M., S. R. Genrikh, A. V. Makarenko, and D. S. Kirakosyan. "Current treatment of pancreatic pseudocysts: a systematic review." Kuban Scientific Medical Bulletin 28, no. 4 (2021): 85–99. http://dx.doi.org/10.25207/1608-6228-2021-28-4-85-99.
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Background. Pancreatic pseudocysts stand among current challenges in modern medicine. Their treatment uses variant instrumental techniques and implies a multispecialty approach. Trials in surgery and gastroenterology have aimed to identify an optimal strategy to tackle pancreatic pseudocysts for reducing complications and the recurrence rate, suggesting ultrasound-guided percutaneous, laparoscopic and flexible endoscopic drainage as promising treatment choices.Objectives. A summarising review of diagnostic and therapeutic methods for pancreatic pseudocyst treatment and comparison of ultrasound-guided percutaneous vs. surgical and endoscopic drainage techniques.Methods. The review examines the classification, epidemiology and methods for diagnosis and treatment of pancreatic pseudocysts. Only comparative full-text studies published within 2014–2021, as well as selected impactive publications within 2002–2013, have been included. The eLibrary, Elsevier and PubMed resources were queried for the article or journal title fields against the keywords (separate or combined) “pancreatic pseudocyst” [псевдокиста поджелудочной железы], “pseudocyst drainage” [дренирование псевдокисты], “surgical drainage” [хирургическое дренирование], “endoscopic drainage” [эндоскопическое дренирование], cystogastrostomy [цистогастростомия], gastrojejunostomy [гастроеюностомия], “duodenal-cystic anastomosis” [цистодуоденоанастомоз], “transpapillary drainage” [транспапиллярное дренирование], “transmural drainage and esophagogastroduodenoscopy” [трансмуральное дренирование и эзофагогастродуоденоскопия]. Records have been selected for topic-related scientific value.Results. The review systematically surveys 68 scientific papers in the focus area and summarises the most common surgical methods for pancreatic pseudocyst treatment. Based on the main principle, the methods are classified into three categories, ultrasound-guided percutaneous drainage, surgical drainage and flexible endoscopic drainage. The major classifications and treatment techniques are highlighted for their advantages and disadvantages.Conclusion. There exist no generally adopted strategy for pancreatic pseudocyst treatment in current clinical practice and no evidence on a particular method application in a large patient cohort. The publication survey identifies the techniques of percutaneous, surgical and endoscopic drainage with ultrasound control as highly effective overall among other surgical treatments.
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Kamlesh, Vegad, Chande Mukesh, Gouri Rajesh, and Sheth Harsh. "Management Strategies and Challenges Associated with Pancreatic Pseudocysts in a Tertiary Care Environment." International Journal of Toxicological and Pharmacological Research 14, no. 11 (2024): 55–58. https://doi.org/10.5281/zenodo.14548924.
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<strong>Background and Aim: </strong>Pancreatic pseudo cysts may develop as a result of either acute or chronic pancreatitis. The comprehension of pseudo cysts has evolved over time, driven by advancements in radiology and the emergence of new treatment options. This study seeks to evaluate the range of diagnostic and therapeutic options for intervention, as well as to assess the effectiveness of various management strategies for pseudocysts. <strong>Material and Methods:</strong> A total of 40 cases were examined, each presenting with either palpable or non-palpable abdominal lumps. These cases raised clinical suspicion of pancreatic pseudocysts, which were subsequently confirmed through ultrasound or CT scans of the abdomen, revealing fluid associated with the pancreas. A total of 28 patients received conservative management, while surgical intervention was performed on the remaining 12 patients. <strong>Results: </strong>The findings indicate that the predominant risk factor for pancreatic pseudocysts was alcohol-induced pancreatitis, observed in 28 patients (70%). This was followed by gallstone-induced pancreatitis, which was present in 7 patients (17.5%). Abdominal pain emerged as the most prevalent symptom, affecting 36 patients, or 90% of the cohort. This was closely followed by anorexia, reported in 30 patients, accounting for 75% of those studied. Among the 40 patients studied, 9 experienced complications related to pancreatic pseudocysts. In three cases, representing 7.5%, there was a presence of infected pseudocyst and pleural effusion. Among the 28 patients who received conservative treatment, 14 individuals (50%) experienced complete resolution of the pseudocyst. In contrast, 7 patients (25%) showed no change in the size of the cyst, while another 7 patients (25%) exhibited an increase in the size of the pancreatic pseudocyst. <strong>Conclusion: </strong>Pseudocyst of the pancreas is primarily observed in males, with alcohol consumption identified as the most prevalent contributing factor. The most frequent site is near the head of the pancreas, where abdominal pain often serves as the initial symptom, accompanied by an abdominal lump as a notable clinical sign.
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Choudhury, A. K., and Praveen Bhatia. "An unusual cause of psoas abscess." Acute Medicine Journal 1, no. 2 (2002): 26–27. http://dx.doi.org/10.52964/amja.0002.
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This case study reports an uncommon cause of psoas abscess, a complication of pancreatic pseudocyst in a 75 years old man. A few other causes of psoas abscess and some complications of pancreatic pseudocyst are touched upon in this report,and management options in the treatment of pancreatic pseudocysts have been enumerated.
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Koo, Jonathan GA, Matthias Yi Quan Liau, Igor A. Kryvoruchko, Tamer AAM Habeeb, Christopher Chia, and Vishal G. Shelat. "Pancreatic pseudocyst: The past, the present, and the future." World Journal of Gastrointestinal Surgery 16, no. 7 (2024): 1986–2002. http://dx.doi.org/10.4240/wjgs.v16.i7.1986.
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A pancreatic pseudocyst is defined as an encapsulated fluid collection with a well-defined inflammatory wall with minimal or no necrosis. The diagnosis cannot be made prior to 4 wk after the onset of pancreatitis. The clinical presentation is often nonspecific, with abdominal pain being the most common symptom. If a diagnosis is suspected, contrast-enhanced computed tomography and/or magnetic resonance imaging are performed to confirm the diagnosis and assess the characteristics of the pseudocyst. Endoscopic ultrasound with cyst fluid analysis can be performed in cases of diagnostic uncertainty. Pseudocyst of the pancreas can lead to complications such as hemorrhage, infection, and rupture. The management of pancreatic pseudocysts depends on the presence of symptoms and the development of complications, such as biliary or gastric outlet obstruction. Management options include endoscopic or surgical drainage. The aim of this review was to summarize the current literature on pancreatic pseudocysts and discuss the evolution of the definitions, diagnosis, and management of this condition.
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Shablovsky, О. R., Yu V. Ivanov, N. Yu Urazovskii, Yu V. Kemezh, and О. Е. Nechaeva. "The case of rare pseudocyst of pancreas located in posterior mediastinum." Journal of Clinical Practice 2, no. 4 (2011): 53–57. http://dx.doi.org/10.17816/clinpract83660.
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The article includes findings of ethiology, classifications, basic methods of surgical treatment of pancreas pseudocysts and their typical localizations in abdominal cavity and retroperitoneal space. Case of pancreas pseudocyst which is rarely located in posterior mediastinum is reported. This pseudocyst of pancreas has been required many additional investigations and much time for updating of diagnosis.
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Soufiane, Habibi, Ezzaki Houda, Souiki Tarik, Ibn Majdoub Hassani Karim, Toughrai Imane, and Mazaz Khalid. "Pancreatic Pseudocyst: Report Case and Surgical Management." SAS Journal of Surgery 10, no. 07 (2024): 830–35. http://dx.doi.org/10.36347/sasjs.2024.v10i07.020.
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The most frequent etiology of pancreatic pseudocyst is acute pancreatitis and exacerbations of chronic pancreatitis, presenting spontaneous resolution in 50% of the cases. Treatment is indicated in symptomatic or complicated persistent pseudocysts. The objective of this article is to present a case and management options of pancreatic pseudocyst defined as a tumor in the omental bursa.
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Zeb, Mohammad Usman, Khalid Mahmood, Muhammad Jalil Malik, Muhammad Anjum, Rabia Kaiser, and Huzaifa Bin Khalil. "Comparison of Conservative Management versus Drainage in Patients with Pancreatic Pseudocyst." Pakistan Armed Forces Medical Journal 73, no. 3 (2023): 858–61. http://dx.doi.org/10.51253/pafmj.v73i3.9214.
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Objective: To compare the conservative management of pancreatic pseudocyst with active surgical intervention.Study Design: Case series study.
 Place and Duration of Study: Department of General Surgery Combined Military Hospital, Rawalpindi Pakistan, from Jan 2020 to Apr 2021.
 Methodology: A total of 40 patients with pancreatic pseudocysts were included. The size of the pseudocysts, patients’ age,gender, lifestyle risk factors and possible aetiology were recorded. Conservative management was offered initially. The nonregressing and complicated pseudocysts were treated surgically via radiology-assisted external drainage or surgical drainage. Relevant data via close follow-up was recorded.
 Results: The mean age of the patients was 61±8.89 years. The pseudocyst size ranged from 4-17cm (median 10cm). Conservative treatment was efficacious in 15(37.5%) with shorter hospital stays (p-value<0.001). All remained pain-free during the one-year follow-up. Surgical intervention was required in 25(62.5%). Radiology-assisted external drainage employed in 15(60%), proved advantageous in 14(93.4%) patients. Recurrence was seen in one patient (6.6%). Other complications included abscess and sepsis. Surgical drainage was used in 10(40%) individuals. Complications included sepsis, abscess and intractable pain. Cumulative intervention-related complications were far higher than conservative management (14,56%, p-value 0.01).The thirty-day mortality in the study patients was 5%, all following surgical intervention.
 Conclusion: Conservative management can be successfully employed to avoid the adverse sequelae associated with active interventions.Keywords: Complications, Conservative management, Pancreatic pseudocyst, Radiological intervention, Surgical intervention
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Starkov, Yu G., R. D. Zamolodchikov, S. V. Dzhantukhanova, et al. "The results of endosonography-assisted internal drainage of pancreatic pseudocyst." Annaly khirurgicheskoy gepatologii = Annals of HPB surgery 24, no. 1 (2019): 43–52. http://dx.doi.org/10.16931/1995-5464.2019143-52.
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Aim.To compare immediate and long-term results of internal drainage of pancreatic pseudocyst by using of endosonography-assisted and open surgical approaches.Material and methods.EUS-assisted internal drainage of pancreatic pseudocyst was performed in 32 patients in 2011–2016. Open drainage procedures were carried out on the other 32 patients.Results.In the group of endoscopic drainage, technical success rate, clinical success rate and complication rate were 97%, 85% and 26%, respectively. There were no recurrent pseudocysts in long-term period. Comparison with open surgery confirmed advantages of endoscopic technique regarding time of operation (p< 0.01), intraoperative blood loss (p< 0.01) and length of hospital-stay (p< 0.01).Conclusion.EUS-assisted internal drainage of pancreatic pseudocysts in the treatment of chronic pancreatitis is characterized by high rate of technical and clinical success, small postoperative morbidity and low incidence of longterm recurrences.
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Korolkov, A. Yu, D. N. Popov, T. O. Nikitina, A. S. Agishev, A. A. Korolkov, and A. O. Tantsev. "Treatment of pancreatic pseudocyst complicated by a breakthrough into the posterior mediastinum." Grekov's Bulletin of Surgery 184, no. 1 (2025): 70–76. https://doi.org/10.24884/0042-4625-2025-184-1-70-76.
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An observation from practice is presented – a case of treatment of a pancreatic pseudocyst complicated by a break through into the posterior mediastinum. The article demonstrates the difficulties of diagnosis and surgical treatment of patients with complicated pancreatic pseudocysts.
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Babu, G. Rajashekara, Sahanashree Venkatesh, Ramakrishnan K., and Pravesh Jain. "Clinical study and management of pseudocyst of pancreas." International Surgery Journal 4, no. 4 (2017): 1426. http://dx.doi.org/10.18203/2349-2902.isj20171155.
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Background: Pancreatic pseudocysts can occur as a complication of acute or chronic pancreatitis. Understanding of pseudocysts has changed with times due to advancement in radiology and introduction of new treatment modalities. This study was done to access clinical features etiology and various managements for pseudocyst in a tertiary care hospital.Methods: It is a prospective study of 40 adult patients admitted in Victoria and Bowring and Lady Curzon Hospital, attached to Bangalore Medical College and Research Institute, Karnataka, India from January 2015 to December 2016.Results: Pseudocysts are more common in males. The commonest etiology associated was alcohol. Ultrasound was the basic radiological investigation done in all patients followed by CECT abdomen. Complications associated with pseudocyst were Gastric outlet obstruction and ascites. Internal drainage was done in most of the patients. Post drainage complications included infection which was managed by antibiotics and endoscopic drainage in case of recollection. Pain was most important post-operative complication. Endoscopic drainage is being preferred as it is less invasive, has a high long term success rate, has shorter duration of hospital stay and more patient comfort.Conclusions: Pseudocyst of pancreas is most commonly seen in males probably because of alcoholism. Clinical presentation can be varied, with pain abdomen being the most common complaint followed by, nausea vomiting. Initial management consists of supportive care and if the symptoms persist and complications develop surgical drainage was the most common management modality. Newer modalities of treatments like endoscopic intervention have an added advantage of lesser pain, shorter duration of hospital stay and recurrence.
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Perumal, Senthilkumar, Jeswanth Sathyanesan, and Ravichandran Palaniappan. "A rare case of pseudocyst in remnant pancreas after classical pancreaticoduodenectomy- treated by endoscopic drainage." International Surgery Journal 4, no. 5 (2017): 1797. http://dx.doi.org/10.18203/2349-2902.isj20171641.
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Pancreatic pseudocysts comprise more than 80 % of the cystic lesions of the pancreas. Here we report a 45-year-old female patient who developed a symptomatic pseudocyst in the remnant pancreas following classical pancreaticoduodenectomy for periampullary carcinoma. The pancreatic anastomosis was pancreaticogastrostomy- Dunking technique. She underwent endoscopic cystogastrostomy. Recurrence should always be ruled out before diagnosing pseudocyst in remnant pancreas following pancreaticoduodenectomy for malignant tumors.
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Korman, Stanley H., Pinchas Lebensart, Oz Martin, Schmuel Katz, and Israel Tamir. "Pancreatic Pseudocyst." Journal of Pediatric Gastroenterology and Nutrition 12, no. 3 (1991): 372–75. http://dx.doi.org/10.1002/j.1536-4801.1991.tb10253.x.
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SummaryA pseudocyst of the pancreas in a 6‐year‐old girl persisted for 2 months despite bowel rest and nutritional support. Following percutaneous introduction of a catheter into the cyst under ultrasound guidance and external catheter drainage for 11 days, the pseudocyst resolved completely and permanently. Nonoperative percutaneous techniques for drainage of pancreatic pseudocysts in children may be an effective alternative to surgical intervention.
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Banu, Petrișor, Bogdan Socea, Daniela Balan, et al. "The customized therapeutic approach of a giant pancreatic pseudocyst. A case report and literature review." Journal of Mind and Medical Sciences 9, no. 1 (2022): 193–200. http://dx.doi.org/10.22543/7674.91.p193200.
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Giant pancreatic pseudocysts are considered those cysts whose dimensions exceed 10 cm and are sporadically reported in the literature. Although there are multiple treatment modalities, there are currently no treatment guidelines or consensus on the best therapeutic approach for giant pancreatic pseudocysts. We report the case of a 32-year-old male patient with a giant pancreatic pseudocyst after an episode of acute pancreatitis, which was treated by internal surgical drainage through cyst-jejunal anastomosis. This surgical procedure was followed by the formation of a retroperitoneal abscess which was resolved by ultrasound-guided drainage. The subsequent evolution of the patient was favorable, without other complications. Given their complex anatomical relations, the treatment of giant pseudocysts requires strategies adapted to the local conditions. The optimal choice of the operative time and of the therapeutic strategy is based on clinical considerations and the effectiveness of the method used can be assessed by a long-term follow-up.
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Sacconi, Riccardo, Robert F. Mullins, Gerard A. Lutty, Enrico Borrelli, Francesco Bandello, and Giuseppe Querques. "Subretinal pseudocyst: A novel optical coherence tomography finding in age-related macular degeneration." European Journal of Ophthalmology 30, no. 3 (2019): NP24—NP26. http://dx.doi.org/10.1177/1120672119846437.
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Purpose: To report the presence of a new structural optical coherence tomography finding, namely, subretinal pseudocysts, in a patient affected by age-related macular degeneration. Methods: Case report including multimodal imaging discussion. Case Report: We report a case of a 77-year-old woman affected by age-related macular degeneration from 7 years. Best corrected visual acuity was counting fingers and 20/40 in the right and left eye, respectively. The left eye was affected by type 1 macular neovascularization treated by 34 intravitreal injections of anti-vascular endothelial growth factor (22 ranibizumab and 12 aflibercept injections). Interestingly, structural optical coherence tomography showed the persistence of a subretinal cystoid space (i.e. ‘subretinal pseudocyst’) after the last anti-vascular endothelial growth factor treatment, even in absence of other signs of exudation. Conclusions: Subretinal pseudocysts are a new structural optical coherence tomography entity. We reported for the first time the evidence that pseudocysts may develop in the subretinal space in a case of age-related macular degeneration.
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Oussama, JADDI, Rafi Sana, Ijdda Sara, El Mghari Ghizlane, and EL Ansari Nawal. "Adrenal Pseudocyst: Rare Clinical Presentation and Review of the Literature." International Journal of Clinical Science and Medical Research 05, no. 05 (2025): 114–17. https://doi.org/10.5281/zenodo.15373548.
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Abstract Adrenal pseudocysts are rare, non-neoplastic lesions of the adrenal gland, often discovered incidentally during imaging for unrelated reasons. Representing 32–80% of adrenal cysts, they are characterized histologically by a fibrous wall lacking epithelial or endothelial lining. Their etiology is uncertain but frequently linked to intra-adrenal hemorrhage, trauma, or degenerative changes. Most pseudocysts are asymptomatic, but large lesions may cause compressive symptoms or complications such as hemorrhage or rupture. This article presents the case of a 36-year-old woman with right hypochondrium pain due to a large adrenal pseudocyst, successfully managed by adrenalectomy. A literature review is also provided, covering epidemiology, pathogenesis, clinical presentation, diagnosis, and management. Imaging, especially CT and MRI, plays a crucial role in diagnosis and in distinguishing pseudocysts from malignant lesions. Surgical removal is indicated for symptomatic, large, or suspicious lesions, with minimally invasive approaches preferred when feasible. Early and accurate diagnosis is essential for optimal management and favorable outcomes.
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Guest, Brittany, Michael Merjanian, Emily Chiu, and Caleb Canders. "Abdominal Cerebrospinal Fluid Pseudocyst Diagnosed with Point-of-care Ultrasound." Clinical Practice and Cases in Emergency Medicine 3, no. 1 (2019): 43–46. http://dx.doi.org/10.5811/cpcem.2018.11.40780.
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Abdominal pseudocysts are rare complications of ventriculoperitoneal (VP) shunts characterized by accumulations of cerebrospinal fluid surrounded by fibrous layers in the intra-abdominal cavity or abdominal wall. We present a woman with bilateral VP shunts who presented with right-sided abdominal distension, pain, and tenderness and who was found to have an abdominal pseudocyst on point-of-care ultrasound and computed tomography. Given the potential to develop a secondary infection or VP shunt malfunction, it is important for emergency providers to consider intra-abdominal complications of VP shunts, including rare ones such as abdominal pseudocysts, in these patients who present with vague abdominal complaints.
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Mouad, Assia, Fadoua Boughaleb, Jawad Boulajrouf, Monim Ochan, and Mounir Kisra. "A Rare Thoracoabdominal Location of Pancreatic Pseudocyst in Children: A Case Report." Scholars Journal of Medical Case Reports 12, no. 05 (2024): 927–30. http://dx.doi.org/10.36347/sjmcr.2024.v12i05.092.
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Pancreatic pseudocysts, common complications of chronic pancreatitis in children, can extend into unusual areas such as the mediastinum, presenting as Mediastinal Pancreatic Pseudocysts (MPP) with atypical symptoms. Imaging modalities such as CT, MRI, and endoscopic ultrasound are crucial for diagnosis. Management involves stabilizing the patient and addressing complications promptly. Surgical options include internal or external drainage, while newer techniques like endoscopic transmural stenting are being explored. However, the optimal management of MPP remains debatable and depends on various factors including etiology, pseudocyst size, and available expertise. We report the case of an 11 years old patient, with a MPP treated surgically in our department.
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Wibowo, Agung Ary, Tjahyo Kelono Utomo, Henderi Saputra, Yohelio Priawan Sibu, and Kenanga Marwan Sikumbang. "Surgical Drainage Cystogastrostomy in Patient with Pancreatic Pseudocyst." JBN (Jurnal Bedah Nasional) 7, no. 2 (2023): 69. http://dx.doi.org/10.24843/jbn.2023.v07.i02.p05.
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Background: Pancreatic pseudocysts are often managed through surgical drainage, which is common in rural areas for several reasons, including limited facilities. Case: Therefore, this study presents a successful treatment of three pancreatic pseudocyst cases using surgical drainage cystogastrostomy. Furthermore, this treatment method was selected due to the ease of performance in rural hospitals and was successfully performed without any complications. Conclusion: The diagnoses of pancreatic pseudocysts were confirmed by anamnesis, physical examination, and CT-scan imaging. The operations were also performed successfully without any complications. However, the patients will also undergo follow-up for two years to enable the doctors to observe for any possible long-term complications.
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Larabee, Shannon M., Jason S. Radowsky, Guangjing Zhu, John Papadimitriou, and Deborah Stein. "Giant adrenal pseudocyst in trauma patient." Trauma 22, no. 2 (2019): 155–58. http://dx.doi.org/10.1177/1460408619881540.
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Adrenal pseudocysts are a subclass of adrenal cysts frequently found as incidentalomas. Here, we present the case of a 67-year-old man with an adrenal pseudocyst suspicious for hemorrhage after a fall who was urgently transferred to a tertiary care trauma center for care.
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Buet, Anja France Noëlle Renée, Miljenko Bujanić, Krešimir Krapinec, Ivica Bošković, Anđelko Gašpar, and Dean Konjević. "Development of the Roe Deer–Fascioloides magna Association over Time." Pathogens 14, no. 6 (2025): 516. https://doi.org/10.3390/pathogens14060516.
Texto completoResumen
The trematode Fascioloides magna is originally a parasite of North American deer species. Upon its arrival to Europe, F. magna met new intermediate and final hosts. Depending on the type of host, the clinical picture, pathological findings, epidemiology and outcome can vary significantly. As an aberrant host, it was long believed that the roe deer (Capreolus capreolus) fails to develop pseudocysts, and therefore the infected animal dies before the parasite can mature and start to produce eggs. In this study, 676 roe deer livers were collected in Croatia during the hunting years of four consecutive years (2019–2023) in Bjelovar-Bilogora County (BB), and 184 livers were collected from Zagreb County (ZG) in the hunting year 2022/2023. Livers were analysed macroscopically and on a cut surface for lesions and any developmental stage of F. magna according to a standard protocol. The mean prevalence of infected livers during the whole study period was 12.86% in BB and 3.8% in ZG. No pseudocysts were detected in samples from ZG, while there was an increasing trend of pseudocyst presence over time in BB. The occurrence of pseudocysts in infected livers showed a rapid increase after the hunting season 2019/2020, before becoming constant (at approx. 40%). The odds of finding pseudocysts ranged between 2.7 (OR = 2.7317, CI 95% 0.3108 to 24.0095, p = 0.365) and 2.9 (OR = 2.9167, CI 95% 0.3163 to 26.8924, p = 0.345) times higher in later years compared to 2019/2020. Similarly, an increasing trend (though less pronounced) was observed in the numbers of livers simultaneously containing pseudocysts and fluke migratory stages. The results indicate a potential change in the roe deer–F. magna association, where an increasing number of roe deer are forming pseudocysts and can survive even multiple infections.