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ACUTE PANCREATITIS-PSEUDOCYST

Gastroenterology

ACUTE PANCREATITIS-PSEUDOCYST

1. A pancreatic pseudocyst develops in less than 10% of patients with acute pancreatitis, 4 weeks or more after an acute attack.

2. It is a collection of pancreatic fluid, which, if small enough, resolves spontaneously.

3. A size > 5 cm suggests it may not resolve on its own.

4. If the pseudocyst persists > 3-6 months and causes symptoms, it may require surgical, radiologic, or endoscopic drainage.

5. Remove enlarging, symptomatic pseudocysts because they are associated with serious complications - fistula, pseudo-aneurysms, rupture, and hemorrhage. Rupture without hemorrhage = 15% mortality, while rupture with hemorrhage= 60% mortality!


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REFERENCES

1. Wilkinson, I. (2017). Oxford handbook of clinical medicine. Oxford: Oxford University Press.
2. Hannaman, R. A., Bullock, L., Hatchell, C. A., & Yoffe, M. (2016). Internal medicine review core curriculum, 2017-2018. CO Springs, CO: MedStudy.
3. Image: no reference available.

Ⓒ A. Manickam 2018

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