Pancreatic Pseudocyst

Question 1

What is it?

Answer 1

Fluid filled collection containing pancreatic enzymes surrounded by a non-epithelialized wall

Arises from day 10 onwards in pancreatitis

Due to disruption of pancreatic channels causing extravasation of pancreatic enzymes

Question 2

What are the symptoms?

Answer 2

Abdominal Pain
Abdo mass
Anorexia
Jaundice
Sepsis- if infected
Pleural effusion

Question 3

What are the investigations?

Answer 3

CT abdo=gold standard
MRI- if need to determine pseudocyst from necrosis
ERCP- if needing to drain

Question 4

What is the management?

Answer 4

Conservative with regular monitoring
Normally self resolve
Drainage if complications/severe symptoms/ concern of malignancy

Complications- bleeding and infection