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Pancreatic Pseudocyst

A fluid collection without an epithelial lining developing after acute or chronic pancreatitis.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Genel Cerrahi department. Book Appointment →

What is Pancreatic Pseudocyst?

A pancreatic pseudocyst is a fluid collection without a true epithelial lining, formed when pancreatic enzyme leakage is surrounded by granulation tissue. Its formation typically requires at least 4 weeks.

It develops most often after gallstone- or alcohol-related pancreatitis. A significant proportion of small and asymptomatic cysts can regress spontaneously, while large or symptomatic cysts require drainage.

According to the revised Atlanta classification, a pancreatic pseudocyst is a well-encapsulated collection associated with the main pancreatic duct, and its distinction from 'walled-off necrosis' (WON) is important.

Symptoms

Dull pain in the upper abdomen
Early satiety and nausea
Vomiting
Abdominal fullness or palpable mass
Weight loss
Jaundice (if biliary compression is present)
Fever (if infection occurs)

Risk Factors

History of acute or chronic pancreatitis
Alcohol consumption
Gallstone disease
Pancreatic trauma
After endoscopic retrograde procedures
Hyperlipidemia
Autoimmune pancreatitis

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Persistent abdominal pain after pancreatitis
  • Difficulty feeding and weight loss
  • Fever and abdominal tenderness (infection)
  • Vomiting and signs of gastric outlet obstruction
  • Jaundice or signs of bleeding

Treatment Methods

01
Observation and imaging in small and asymptomatic cysts
02
Endoscopic transluminal drainage (under EUS guidance)
03
Percutaneous catheter drainage (in selected cases)
04
Surgical internal drainage: cystogastrostomy, cystojejunostomy, cystoduodenostomy
05
Pancreatic stenting or surgery for main duct stricture
06
Antibiotics plus emergency drainage in infected pseudocysts

Which Department to Visit?

You can visit our Genel Cerrahi department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.