Pancreatic Pseudocyst Overview
Learn About Pancreatic Pseudocyst
A pancreatic pseudocyst is a fluid-filled sac in the abdomen that arises from the pancreas. It may also contain tissue from the pancreas, enzymes, and blood.
Pancreatitis - pseudocyst
The pancreas is an organ located behind the stomach. It produces chemicals (called enzymes) needed to digest food. It also produces the hormones insulin and glucagon.
Pancreatic pseudocysts most often develop after an episode of severe pancreatitis. Pancreatitis happens when your pancreas gets inflamed. There are many causes of this problem.
This problem may sometimes occur:
- In someone with long-term (chronic) swelling of the pancreas (pancreatitis), most often due to alcohol abuse
- After trauma to the belly, more often in children
The pseudocyst happens when the ducts (tubes) in the pancreas are damaged and fluid with enzymes cannot drain.
Symptoms can occur within days to months after an attack of pancreatitis. They include:
- Bloating of the abdomen
- Constant pain or deep ache in the abdomen, which may also be felt in the back
- Nausea and vomiting
- Loss of appetite
- Difficulty eating and digesting food
Treatment depends on the size of the pseudocyst and whether it is causing symptoms. Many pseudocysts go away on their own. Those that remain for more than 6 weeks and are larger than 5 centimeters (about 2 inches) in diameter may need treatment. However, size and duration do not always mean treatment is needed, especially in a person without any symptoms and whose pseudocyst is not getting bigger.
Possible treatments include:
- Drainage through the skin using a needle, most often guided by a CT scan.
- Endoscopic-assisted drainage using an endoscope. In this, a tube containing a camera and a light is passed down into the stomach).
- Surgical drainage of the pseudocyst. A connection is made between the cyst and the stomach or small intestine. This may be done using a laparoscope.
Midwest Digestive Health & Nutrition
Neil Gupta is a Gastroenterologist in Des Plaines, Illinois. Dr. Gupta and is rated as an Advanced provider by MediFind in the treatment of Pancreatic Pseudocyst. His top areas of expertise are Barrett Esophagus, Gastroesophageal Reflux Disease (GERD), Hiatal Hernia, Endoscopy, and Colonoscopy. Dr. Gupta is currently accepting new patients.
Loyola University Medical Center
Zohair Ahmed is a Gastroenterologist in Maywood, Illinois. Dr. Ahmed and is rated as an Experienced provider by MediFind in the treatment of Pancreatic Pseudocyst. His top areas of expertise are Gallbladder Disease, Bile Duct Obstruction, Childhood Pancreatitis, Endoscopy, and Gastrectomy. Dr. Ahmed is currently accepting new patients.
Northwestern Medical Faculty Foundation
Daniel Borja-Cacho is a Transplant Surgeon and a General Surgeon in Lake Forest, Illinois. Dr. Borja-Cacho and is rated as an Experienced provider by MediFind in the treatment of Pancreatic Pseudocyst. His top areas of expertise are Alcoholic Cirrhosis, Visceromegaly, Hepatitis, Liver Transplant, and Kidney Transplant. Dr. Borja-Cacho is currently accepting new patients.
The outcome is generally good with treatment. It is important to make sure that it is not a pancreatic cancer that starts in a cyst, which has a worse outcome.
Complications may include:
- A pancreatic abscess can develop if the pseudocyst becomes infected.
- The pseudocyst can break open (rupture). This can be a serious complication because shock and excess bleeding (hemorrhage) may develop.
- The pseudocyst may press down on (compress) nearby organs.
If you are known to have a pseudocyst, rupture of the pseudocyst is a medical emergency. Go to the emergency room or call 911 or the local emergency number if you develop symptoms of bleeding or shock, such as:
- Fainting
- Fever and chills
- Rapid heartbeat
- Severe abdominal pain
The way to prevent pancreatic pseudocysts is by preventing pancreatitis. If pancreatitis is caused by gallstones, the provider will perform surgery to remove the gallbladder (cholecystectomy).
When pancreatitis occurs due to alcohol abuse, you must stop drinking alcohol to prevent future attacks.
When pancreatitis occurs due to high blood triglycerides, this condition should be treated.
Summary: Acute pancreatitis is one of the most common gastrointestinal disorders requiring hospitalization worldwide. Pancreatic fluid collections can occur as a consequence of acute and chronic pancreatitis and can result in significant morbidity and mortality, including significant abdominal pain, gastric outlet obstruction, biliary obstruction, organ failure, persistent unwellness, infection and sepsis....
Summary: Patients may evolve pseudocysts of the pancreas secondary to a severe pancreatitis. In case of a symptomatic or infected pseudocyst, a therapeutic drainage of the cyst is indicated. In modern medicine the preferred way to perform such a drainage is by the means of endoscopic ultrasound (EUS). It is not precisely elucidated how this EUS-procedure should be performed in different scenarios. The cyst...
Published Date: December 31, 2023
Published By: Jenifer K. Lehrer, MD, Department of Gastroenterology, Aria - Jefferson Health Torresdale, Jefferson Digestive Diseases Network, Philadelphia, PA. Review provided by VeriMed Healthcare Network. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.
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