The clinical and radiological observation of the pancreatic pseudocysts

Abstract

The pancreas is the only organ in the body which reacts to trauma or inflammation by autolysis and the for. mation of a pseudocyst. Pancreatic pseudocysts are thought to develop secondary to rupture of a pancreatic duct with escape of pancreatic juìce into the surrounding tissue or spaces. The fluid becomes loculated and a fibrous wall results from the secondary inflammation. There is no epithelial cell lining the cystic wal l. The results were summarized as foliows;1. The ratio of male and fe male was 1. 7:1 , ar,J the ages of most of patients ranged from 21 to 50 years.2. Of our 16 cases, 7 cases had a history of pancreatitis, 5 cases trauma but no specific past hi story was obtained in 2 cases.3. Most frequent outstanding clinical symptoms and sig ns we re abdominal pain(87.5%) , tenderness(8 1. 3%) and palpable mass(68.8% ).4. In laboratory findings , serum amylase level was elevated in 9 cases, leukocytosis in 5 cases and significant snemia on admission in 6 cases.5. Radiographic ex amination , especialiy UGI seri es was most useful diagnostic aid. The most common and important radiologic finding was anterior displ aceme nt of stomach and extrinsic compression(87.5 %).6. The location of pseudocyst was in body(62.5 %). tail(25.0%) and head (12.5%) of the pancreas in order.