Non neoplastic pancreatic cysts


Non neoplastic pancreatic cysts
Updated: 03/26/2019
© Jun Wang, MD, PhD

Pseudocyst
  • Painful, collections of pancreatic secretions after pancreatitis (acute or chronic), trauma, ductal calculi, obstructive neoplasms
  • May be asymptomatic
  • Cysts without epithelial lining
  • Complications: abscess, erosion into blood vessels, hemorrhage, infection, perforation into a hollow viscus
  • Management: follow up with image studies, supportive care, drainage if symptomatic
Congenital cysts
  • Commonly multiple
  • No communication with duct system
  • Often associated with polycystic disease affecting kidney and liver and von Hippel Lindau syndrome
  • Lined by a single layer of epithelium with a fibrous wall



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