Tags: ancreatic | pseudocyst | symptoms | treatment | pain

Pseudocyst Description and Treatment

Wednesday, 30 Apr 2014 09:02 PM

A pancreatic pseudocyst generally refers to a collection of fluid around the pancreas. The fluid in such a pancreatic pseudocyst mainly has pancreatic juice that has leaked from a damaged pancreatic duct due to inflammation or swelling. Pancreatic pseudocysts generally follow acute or chronic pancreatitis.


Symptoms

The general symptoms include pain in the abdomen, bloating, and poor digestion, a deep pain in the abdomen due to infection of the pseudocyst with a pancreatic abscess, bleeding in the cyst or due to the blockage caused by the pancreatic pseudocyst. Pancreatic pseudocysts are sometimes asymptomatic. However, they can cause moderate to severe symptoms. In certain cases, symptoms may appear within days to a few months of pancreatitis. The most common symptoms include severe pain in the abdomen. However, the pain is directed towards the back. Other symptoms include nausea, vomiting, and abdominal bloating.
 
 
Severity of Pancreatic Cysts/Pseudocysts

Any pseudocysts can cause infection, which can lead to pancreatic abscess. They may rupture, causing hemorrhage that may occur without any specific symptom or pain and without warning. Hence, they may be life-threatening and require immediate treatment. Large cysts might block the common bile duct, causing obstructive jaundice with corresponding jaundice symptoms and abdominal pain. Portal hypertension also results from such cysts where the blood pressure of the splenic vein increases. Pain in such cases increases, leaves surgery as the only option for treatment.
 
They can be hard to diagnose because their symptoms are similar to various other diseases. Most commonly, nausea and abdominal pain is often confused with gastric problems. The location of the pancreas enables mainly cross-sectional imaging as being able to locate them for determining their treatment. Treatment procedure starts with the diagnosis that may include USG-Abdomen, CT-scan, MRI, Endoscopic USG, and ERCP.

 
Treatment

All cysts do not require treatment. In many cases, pseudocysts improve on their own. For any patient with a small cyst of about six centimeters that is without any symptoms, careful observation of the cyst with periodic CT scans is suggested. A significant number of patients report that the cyst dissolves by itself. If a pseudocyst is persistent over many months or is causing associated symptoms such as pain, nausea, pain directed towards the back, treatment might be required.

The treatment of a pancreatic pseudocyst is complex. Experienced pancreatic surgeons, gastroenterologists, and radiologists should do it. The treatment is to be performed by a team — a surgeon, gastroenterologist, and radiologist. Surgical treatment of such pseudocysts includes cystgastrostomy, cystjejunostomy, and cystduodenostomy. Endoscopic drainage treatment is becoming more acceptable as it is less invasive in nature and has a high success rate.
 
Pseudocysts should be treated due to their potential risks. If a complication causes the enzymes and toxins in the pseudocyst to enter the bloodstream, the heart, lungs, kidneys, or other organs can be seriously affected, thereby raising complications. Proper treatment of pancreatic pseudocysts can cure the patient completely without any further complications.
 

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A pseudocyst is similar to a cyst but does not have epithelial or endothelial cells. A pancreatic pseudocyst is a fluid-filled sac in the abdomen, which may also contain tissue from the pancreas, pancreatic enzymes, and blood.
ancreatic, pseudocyst, symptoms, treatment, pain
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2014-02-30
Wednesday, 30 Apr 2014 09:02 PM
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