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[Simple and infected pancreatic pseudocysts. Methods of ultrasonography-guided percutaneous needle aspiration:
E Pelizzari1, M Lovera, A A Pirrotta
1Azienda USSL n. 19, Divisione di Chirurgia Generale, Presidio Ospedaliero di Orzinuovi, Brescia.
Background:
Personal experience in the treatment of seven pancreatic pseudocysts (four infected and one causing a high intestinal occlusion due to compression on the duodenum) is reported.
Methods:
In these emergency situations, which are very risky with the traditional surgical treatments, the percutaneous needle-aspiration with needle of Ciba 22 gauge allowed to overcome the critical phase.
Results:
In none of the cysts there was a Wirsung's obstruction preventing the defluxion towards the papilla, that's why ductal effraction, being the origin of the pseudocyst, healed spontaneously even if it required many needle-aspiration treatments.
Conclusions:
This is the needle-aspiration has been the only approach to the complete elision of the cavity. The methodology used has been described in detail.
