Pancreatic Pseudocyst
Which of the statement regarding pseudocyst of pancreas is FALSE?
| A |
Has a fibrous coat |
|
| B |
Has mucous lining epithelium |
|
| C |
Not a true cyst |
|
| D |
Present as epigastric mass |
Which of the statement regarding pseudocyst of pancreas is FALSE?
| A |
Has a fibrous coat |
|
| B |
Has mucous lining epithelium |
|
| C |
Not a true cyst |
|
| D |
Present as epigastric mass |
A pseudopancreatic cyst is not a true cyst.
It is a chronic collection of pancreatic fluid surrounded by a nonepithelialized wall of granulation tissue and fibrosis.
It is seen in 10% of patients with acute pancreatitis and 20-30% patients with chronic pancreatitis.
It is the most common complication of chronic pancreatitis.
Pateints usually presents with pain, fullness or early satiety.
Which one is not true regarding pseudocyst of pancreas –
| A |
Epigastric mass |
|
| B |
Increase level of amylase |
|
| C |
Cystogastrostomy is the ideal T/t |
|
| D |
Percutaneus aspiration is the T/t |
Which one is not true regarding pseudocyst of pancreas –
| A |
Epigastric mass |
|
| B |
Increase level of amylase |
|
| C |
Cystogastrostomy is the ideal T/t |
|
| D |
Percutaneus aspiration is the T/t |
Ans is ‘d’ ie Percutaneous aspiration is the t/t
- Percutaneous aspiration is preferred only in cases of infected cyst and abcesses, other wise internal drainage is the t/t of choice.
- Epigastric mass is the main symptom of pseudocyst.
- Increased level of amylase is usually elevated with pancreatic pseudocysts.
True about pseudocyst of pancreas –
| A |
Is a true cyst |
|
| B |
Common with penetrating trauma abdomen |
|
| C |
Treated with cystogastrostomy if size > 2 cm |
|
| D |
Can present from mediastinum to pubis |
True about pseudocyst of pancreas –
| A |
Is a true cyst |
|
| B |
Common with penetrating trauma abdomen |
|
| C |
Treated with cystogastrostomy if size > 2 cm |
|
| D |
Can present from mediastinum to pubis |
Answer is B
Blunt injury of abdomen causing a ductal disruption wherein the pancreatic duct in the region of body is crushed against vertebral body results in a pseudocyst.
Treatment of pseudocyst of pancreas include ‑
| A |
Cystogastrostomy |
|
| B |
Cystojejunostomy |
|
| C |
Excision of the cyst |
|
| D |
All |
Treatment of pseudocyst of pancreas include ‑
| A |
Cystogastrostomy |
|
| B |
Cystojejunostomy |
|
| C |
Excision of the cyst |
|
| D |
All |
Ans is d i.e. All of the above
