Study of clinical parameters and comparison of conservative management, percutaneous drainage and surgical management in pseudocyst of pancreas

Abstract

Introduction: Pseudopancreatic cyst is a common complication of pancreatitis. This study is to know the various etiologies, relative frequency of pseudo pancreatic cyst in relation to age and sex and establish accurate diagnosis by various investigations and to study various modes of management like conservative, percutaneous drainage and surgery. Methods: 30 patients were selected, who were diagnosed as pseudopancreatic cyst admitted in Prathima institute of medical sciences hospital during Dec. 2013 to Sept. 2015. Results: Majority of patients belonged to the age group 31-50 years, which constituted 14(46.6%) patients in the study. M: F is 4:1. Most common etiological factor was alcohol; most common mode of presentation was pain abdomen and tenderness. Incidence of palpable mass was in 80% of the patients studied, but with the usage of USG and CT-Scan pseudocyst was detected in all the patients. Conservative treatment was useful in uncomplicated, acute pseudocyst till they regress or mature when surgery became necessary. The results of internal drainage were excellent, which was done in 53.3% of the patient in our study. The postoperative complication includes pain abdomen and wound infection seen in 9 patients of the study.