PANCREATIC PSEUDOCYSTS AND THEIR UNUSUAL LOCATIONS
Keywords:: Pancreatic Pseudocyst, Mediastinum, Spleen, Perinephric Space
Introduction: The aim of our study was to detect the various sites of fluid collections in acute and chronic pancreatitis. Patients presenting with pancreatitis were further evaluated for pseudopancreatic cyst. Characteristics along with location of cysts were compared and unusual location for pseudopancreatic cyst studied.
Methodology: A prospective study of 60 adult patients, (39 male patients and 21 female patients) with Acute and Chronic pancreatitis was undertaken from August 2015 to July 2016. CT scans of 60 patients with acute and chronic pancreatitis were reviewed. Of these in the patients with pseudocyst formation (28 of 60 patients), the location of intrapancreatic, peripancreatic and distal fluid collections in the setting of acute and chronic pancreatitis was studied.
Results: Fluid collections developed in 28 of 60 patients (21 male patients and 7 female patients) for an incidence of 46.6%. Incidence of pseudocyst formation was high in age group of 50-60 yrs. (32.1%), retroperitoneal space according to location (39.2%) and alcohol was noted to be the most common aetiology (60.8%).
Conclusion: Most common locations are the omental bursa and the retroperitoneal space. Pseudocysts in rare sites notably splenic parenchyma, mediastinum and left perinephric space were noted in four patients.
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