The clinical and radiological observation of the pancreatic pseudocysts

Kang, H K; Suh, C J

Abstract

The pancreas is the only organ in the body which racts to trauma or inflammation by autolysis and theformation of a pseudocyst. Pancreatic pseudocysts are thought to develop secondary to rupture of a pancreatic ductwith escape of pancreatic juice into the surronding tissue or spaces. The fluid becomes loculated and a fibrouswall results from the secondary inflammation. There is no epithelial cell lining the cystic wall. The study wascarried out to analyze the roentgenological findings associated with clinical symptoms and physical findings abut16 cases of pancreatic pseudocyst confirmed at the Dept. of General Surgery, Chonnam National University Hospitalfrom Jan. 1973 to May 1980. The reults were summarized as follows; 1. The ratio of male and female was 1.7:1, andthe ages of most of patients ranged from 21 to 50 years. 2. Of our 16 cases, 7 cases had a history ofpanceratitis, 5 cases trauma but no specific past history was obtained in 2 cases. 3. Most frequent outstandingclinical symptoms and sings were abdominal pain(87.5%), tenderness(81.3%) and palpable mass(68.8%). 4. Inlaboratory findings, seurm amylase level was elevated in 9 cases, leukocytosis in 5 cases and significant snemiaon admission in 6 cases. 5. Radiographic examination, especially UGI series was most useful diagnostic aid. Themost common and important radiologic finding was anterior displacement 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.