Pancreatic Pseudocyst 

Pancreatic pseudocysts are fluid collections around the pancreas, which are more common in chronic pancreatitis than in acute pancreatitis.  

Symptoms of pseudocysts are

1.    Pain abdomen

2.    Jaundice

3.    Vomiting

4.    Fever in the case of infected pseudocyst

5.    Decrease in hemoglobin in case of bleed in cyst

Treatment options are

1.    Asymptomatic cysts can be followed up

2.    Cysts which are decreasing in size usually does not require treatment

3.    Endoscopic or EUS guided drainage is done for symptomatic or persistent/enlarging pseudocysts

Percutaneous drainage is reserved for cysts not amenable to endoscopic drainage