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2024 ; 16
(7
): 1986-2002
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Pancreatic pseudocyst: The past, the present, and the future
#MMPMID39087130
Koo JG
; Liau MYQ
; Kryvoruchko IA
; Habeeb TA
; Chia C
; Shelat VG
World J Gastrointest Surg
2024[Jul]; 16
(7
): 1986-2002
PMID39087130
show ga
A pancreatic pseudocyst is defined as an encapsulated fluid collection with a
well-defined inflammatory wall with minimal or no necrosis. The diagnosis cannot
be made prior to 4 wk after the onset of pancreatitis. The clinical presentation
is often nonspecific, with abdominal pain being the most common symptom. If a
diagnosis is suspected, contrast-enhanced computed tomography and/or magnetic
resonance imaging are performed to confirm the diagnosis and assess the
characteristics of the pseudocyst. Endoscopic ultrasound with cyst fluid analysis
can be performed in cases of diagnostic uncertainty. Pseudocyst of the pancreas
can lead to complications such as hemorrhage, infection, and rupture. The
management of pancreatic pseudocysts depends on the presence of symptoms and the
development of complications, such as biliary or gastric outlet obstruction.
Management options include endoscopic or surgical drainage. The aim of this
review was to summarize the current literature on pancreatic pseudocysts and
discuss the evolution of the definitions, diagnosis, and management of this
condition.