The Study of Clinical Presentation, Management and Outcome Analysis of Pseudocyst of Pancreas

Dr Dharmesh J. Balsarkar; Dr Snehajeet Wagh; Dr Rahul V. Kandekar; Dr Shazia S. Malik; Dr Surajsinh Amarsinh Chauhan; Dr Sejarali S. Mohmad; Dr Madhavi Chitta; Dr Dhvani Shah

Volume : VI, Issue : VII, July - 2016

The Study of Clinical Presentation, Management and Outcome Analysis of Pseudocyst of Pancreas

Dr Dharmesh J. Balsarkar, Dr Snehajeet Wagh, Dr Rahul V. Kandekar, Dr Shazia S. Malik, Dr Surajsinh Amarsinh Chauhan, Dr Sejarali S. Mohmad, Dr Madhavi Chitta, Dr Dhvani Shah

Abstract :

Background / Objectives: The aim of this study was to study the presentation and management of pseudocyst of pancreas and its outcome. The study of 30 cases with pancreatic pseudocyst was carried out from January 2013 to November 2014 at our institute. METHODS— Patients with diagnosed pancreatic pseudocyst were included in the study. Biochemical investigations, radiological investigations and management and outcomes of patients with pseudocyst were studied. RESULTS – Of the 30 patients, 27 were male (90%) and 3 were female (10%). Most of the patients were in the age group of 28 to 37 years comprising about 36.7%. Pain in abdomen accounting for about 83% followed by lump in abdomen was the common clinical presentation. Aetiology for pseudocyst in this study was alcohol 66.67% followed by gallstones. 23.3% of the subjects had co morbidity viz diabetes mellitus and hypertension. The commonest location of the pseudocyst was body of pancreas (63.3%), followed by pseudocyst in tail and body (26.67%). About 86.67% of the cysts were single and 13.33% patients had multiple pseudocyst. In our study maximum cyst diameter was 26cm and the minimum was 3 cm. 50 % patients were managed conservatively and 50 % patient needed intervention in the form of pigtailing, open cystogastsrostomy and remaining underwent ERCP and Pancreatic duct stenting. There was complete resolution of the pancreatic pseudocyst in 89.3% of the cases, while 7.1 % of the cases there was no resolution and in 3.6% of cases there was recurrence of pseudocyst. Mortality rate of 6.7% was seen in our study. CONCLUSION: Pancreatic pseudocyst was predominantly seen in male population in the age group of 28– 37 years. Pain in abdomen was the most common presenting complaint, followed by lump in abdominal lump in our study. Alcoholic Pancreatitis was the most common etiologic factor for pancreatic pseudocyst. Most common location for pancreatic pseudocyst was the body of pancreas (60%), followed by body with tail of pancreas and least pseudocysts were seen in the head of pancreas. 50% of the patients were treated conservatively and rest 50% required some form of intervention.