Saturday, 10 April 2010

Pseudocysts & Pancreatic Abscesses

Pseudocysts
Localised collection of secretions
After pancreatic inflammation/trauma

Pancreatic abscesses
Sterile
Filled with liquefactive necrosis of pancreas

Both: lack epithelial lining of true cysts

Symptoms
Abdominal pain

DDx
?malignancy

Pseudocysts

Pathology
Solitary lesions (up to 10cm in diam)
Within/adj to pancreas
Secretion from damaged ducts walled off by fibrotic tissue =
Fluid-filled pseudocysts
*Calcified = Seen on CT


Cx
Haemorrhage
Infection w/ peritonitis

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