Pseudocyst Drainage

A pancreatic pseudocyst is a fluid collection within or adjacent to the pancreas with a surrounding wall of fibrous tissue lacking an epithelial lining. Pseudocysts may occur after pancreatitis or pancreatic trauma. They may remain asymptomatic or may cause pain. They may also cause symptoms from gastric or duodenal compression such as early satiety, nausea, and vomiting. Compression of the biliary system may lead to obstructive jaundice. Portal hypertension can result from thrombosis of the splenic vein owing to pseudocyst compression. Additionally, pancreatic pseudocysts may cause hemorrhage either from the inflammatory pseudocyst wall or from erosion of the pseudocyst into a peripancreatic vessel. Peritonitis may occur following pancreatic pseudocyst rupture.

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