J Korean Radiol Soc.  1986 Dec;22(6):1005-1014. 10.3348/jkrs.1986.22.6.1005.

Radiologic evalution of pancreatic pseudocyst

• Jeong TH
• Kim YJ
• Hong IS
• Kim MS
• Sung KJ

• KMID: 2462253
• DOI: http://doi.org/10.3348/jkrs.1986.22.6.1005

Abstract

Pancreatic pseudocyst is a collection of necrotic tissue, old blood and secreations that escaped from thepancreas damaged by pancreatitis, trauma and chronic alcoholism. There is no epithelial cell lining the cysticwall. With the advent of ultrasound and CT more accurate diagnosis can be made. Our study was carried out toanalyse the radiological and clinical findings of 32 cases of pancreatic pseudocysts confirmed at Wonju College ofMedicine Yonsei University from Jan. 1979 to Aug. 1986. The results are as follows: 1. Male to female ratio was4.3:1 Incidence was the most common in 4th decases. 2. The most frequent symptom was epigastric pain(100%). 3. Ina total of 32 cases, 15 cases had a underlying cause of pancreatitis, 9 cases abdominal trauma. 4. In laboratoryfindings, serum amylase level was elevated in 23 cases, leukocytosis in 10 cases. 5. On chest films, the lungswere mostly normal. Soft tissue mass density in 12 cases was the most common finding on abdomen films. 6. UGIseries were helpful indirecting attention by pancreatic pseudocysts' location and size. 7. Ultrasonogram usingprimary procedure for the detection of pseudocyst(23 cases) disclosed anechoic lesion in 8 cases, mixed echolesion in 15 cases. Mixed echo patterns, interms of internal echo patters, were echogenic spots(8 cases)mseptation and echogenic spots(3 cases), fluid-fluid level(3 cases), etc. 8. CT scanning is the best imagingprocedure, providing detailed morphologic information about the pancreatic pseudocyst and surrounding tissue.

MeSH Terms

Abdomen
Alcoholism
Amylases
Diagnosis
Epithelial Cells
Female
Gangwon-do
Humans
Incidence
Leukocytosis
Male
Pancreatic Pseudocyst*
Pancreatitis
Thorax
Tomography, X-Ray Computed
Ultrasonography
United Nations
Amylases