Incision Procedure Research Articles

Pseudocysts of the pancreas

Pseudocyst is the most common cystic lesion which occurs in association with the pancreas. Pancreatitis appears to be the most frequent etiologic factor in the development of a pseudocyst. Characteristically, a patient who has a cyst of this type presents a history suggestive of recurring pancreatitis and a rounded mass somewhere in the upper part of the abdomen. The mass may change in size or at times disappear entirely between attacks of abdominal pain. Occasionally pain is absent or minimal. Roentgenologic studies may show abnormalities in the stomach or duodenum caused by pressure from the cyst. Forty-four cases of pseudocyst of the pancreas are reviewed. The procedure of incision and drainage with or without marsupialization is considered the treatment of choice. Cysts recurred in only three of the thirty-one cases in which treatment of this type was employed. In each of these three cases it appeared that an inadequate period of drainage had been maintained. Total excision of the cyst or an anastomosis between the cyst and some part of the intestinal tract are recommended only in exceptional cases.