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Pseudo cysts
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Table Of Contents

What are Pseudocysts?

A pseudocyst is a collection of tissues and fluids in a sac-like structure. A pseudocyst looks like a cyst but is different from a true cyst based on its contents. It is harmless until it ruptures. Found in the pancreas, it is also called pancreatic pseudocyst.

What Causes Pseudocysts?

Pancreatic pseudocysts are most commonly associated with pancreatitis.

Pancreatitis is a painful and dangerous disease. Pancreatic enzymes, which aid in the digestion of fats and carbohydrates, become overactive and begin to break down the tissues of the pancreas. This can result in swelling, haemorrhage, and damage to the tissues and blood vessels. Cysts form when the channels that deliver pancreatic juices to the gut get obstructed.

What are the Symptoms of Pancreatic Pseudocysts?

A pancreatic pseudocyst might cause no symptoms at all. They even leave on their own at times. Generally, pancreatic pseudocysts are discovered by mistake during a CT or MRI scan to detect another ailment.

However, it is essential to keep an eye on these symptoms after pancreatitis:

  • Nausea and vomiting
  • Upper abdominal ache, which occasionally radiates to the back
  • A bulge in the upper belly that can be felt
  • Problem with food digestion

A ruptured cyst can cause a variety of symptoms, including:

  • Blood in vomit
  • Fainting
  • Feeble and quick pulse
  • Severe stomach discomfort
  • Diminished awareness

How are Pseudocysts Diagnosed?

A CT scan, which employs a mix of X-rays and computer technologies to generate pictures of the inside of the body, is typically used to identify pseudocysts. These scans, which are more detailed than standard X-rays, can reveal abnormalities in the pancreas and its surrounding region.

The following tests may be used in the diagnosis of a pseudocyst:

  • Blood tests: These tests look for specific chemicals in the blood. For example, high levels of amylase or lipase, enzymes generated by the pancreas, might suggest pancreatic inflammation.
  • Ultrasonography: This is a method of seeing interior structures, such as the organs of the abdomen, using high-frequency sound waves.
  • Endoscopy: A flexible, lighted tube is inserted in the abdomen through the mouth to picture the internal organs properly.

What are the Complications of Pseudocysts?

  • Pancreatic abscess: If the pseudocyst becomes infected, a pancreatic abscess might form.
  • Pseudocyst rupture: This can be a dangerous consequence because shock and excessive bleeding (haemorrhage) may occur.
  • The pseudocyst may compress (push down on) adjacent organs.

How are Pseudocysts Treated?

Pseudocysts frequently improve and disappear on their own. If the pseudocyst continues, grows more extensive, or causes pain, surgery may be required. A pseudocyst can get infected or burst if it is not monitored or treated, causing extreme discomfort, blood loss, and stomach infection.

Pseudocyst removal surgery

Surgery may be required for pseudocysts that require therapy. A link between the pseudocyst and a neighbouring digestive organ is frequently made during surgery to repair a pseudocyst. The pseudocyst might then drain through that organ. The link with the stomach or small intestine depends on where the pseudocyst is located inside the pancreas.

This operation is sometimes performed laparoscopically. This implies it’s done through small abdominal incisions with slender instruments and a lighted scope. This treatment cuts down on hospital stays and recuperation times.

Pseudocyst Drainage

In other circumstances, the pseudocyst is drained without surgery. It is drained by using a needle guided by computed tomography. A gastroenterologist can drain a pseudocyst via the stomach by making a tiny incision between the pseudocyst and the stomach or inserting a stent into the pancreas during an endoscopy.

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