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Multiple pancreatic pseudocyst disease.

R J Goulet, J Goodman, R Schaffer

    Annals of Surgery
    |January 1, 1984
    PubMed
    Summary
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    Multiple pancreatic pseudocysts occur in over 14% of cases. While some resolve spontaneously, imaging like CT scans aids diagnosis and surgical planning for pancreatic pseudocyst disease.

    Area of Science:

    • Gastroenterology
    • Abdominal Imaging
    • Surgical Management

    Background:

    • Pancreatic pseudocysts are a known complication of pancreatitis.
    • The incidence and optimal management of multiple pancreatic pseudocysts remain areas for investigation.

    Purpose of the Study:

    • To determine the incidence of multiple pancreatic pseudocyst disease.
    • To evaluate the optimal diagnostic and therapeutic approach for this condition.

    Main Methods:

    • Retrospective review of 91 consecutive patients diagnosed with pancreatic pseudocyst disease over 36 months.
    • Utilized sonography and computerized tomographic (CT) scanning for diagnosis.
    • Assessed outcomes including spontaneous resolution and operative interventions.

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    Main Results:

    • Thirteen patients (14.3%) presented with multiple pseudocysts.
    • Sonography had a combined false negative and false positive rate of 9%.
    • Spontaneous resolution was observed in 18% of cysts up to 6.5 cm; CT scanning improved diagnostic accuracy.

    Conclusions:

    • Multiple pancreatic pseudocysts are found in over 14% of patients.
    • Careful investigation for multiplicity is warranted; not all cases require surgery due to spontaneous resolution potential.
    • CT scanning is valuable for suspected multiplicity and preoperative planning; drainage is preferred over excision to preserve pancreatic function.