Laparaoscopic cytogastrostomy for a giant pseudocyst of pancreas

Conventionally, a large symptomatic and unresolved pancreatic pseudocyst is treated surgically by internal drainage to a neighboring adherent viscus such as stomach, duodenum or jejunum. Recently, the various minimal invasive approaches have been used to treat this condition. Depending on the expertise available, the cyst can be also be drained endoscopically or laparoscopically. We present a case of a large pseudocyst treated laparoscopically.

A 60-year-old lady was admitted for an elective laparoscopic cholecystectomy as a day case. Under general anaesthesia during her elective laparoscopic cholecystectomy a mass was visible and palpable in the left upper abdomen. Post-operatively, a CT scan of abdomen confirmed the presence of a giant pseudocyst of the pancreas. She successfully underwent a laparoscopic cystogastrostomy four weeks later.

Laparoscopic cystogastrostomy for pseudocyst of the pancreas is safe, feasible and with good outcome.