This is a report of eleven cases of pseudocyst of the pancreas treated at Presbyterian Medical Center,
Chon Ju, Korea.
Our experience shows as follows;
1. The more common incidence of pseudocysts in men than in women is confirmed by our series.
Eight patients were male and three were female.
2. In the adult, pancreatitis, either acute or chronic, and trauma are generally accepted for etiologic
factors of the pancreatic pseudocyst(See Table).
3. The most common symptoms are abdominal pain, anorexia and weight loss and mass, and rarely
jaundice.
4. The useful diagnostic and for pseudocysts of the pancreas is roentgenolofic studies. Among the
X-ray studies, upper G-I series and I.V.P are very useful.
5. In the treatment of pancreatic pseudocysty, internal drainage(loop cystojejunostomy or Roux-en-Y
cystojejunostomy)is thought to be treatment of the choice. And bit marsupialization is thought to be
best treatment in the ruptured pancreatic pseudocyst, on the other hand, excision had been considered
as the ideal form of treatment in case of neoplastic cyst, nut this is a very rare occasion because of
high mortality and morbidity which results from severe adhesion to the surrounding structures with
injuru of the vital structure.
6. All patients where were treated at presbyterian Medical Center, Chon jum Korea are living well
now(See Table 1)
Pseudocysts of the pancreas are the result of a collection of wall-off fluid or necrotic material or
both produced by the action of extravasated and activated pancreatic exzymes on tissues with which
they come in contact.
It may be located in the lesser eac of the peritoneum, in the peripancreatic cellular tissues or within
the pancreas itself.
The content of the pseudocyst is clear, turbid, or bloody in nature. The wall consist of the adjacent
viscera covered with fibrous tissue of varying degrees of thickness and consistency. There is no epithelial
lining.
The exact mechanism of formation is not knownl presumably, disruption of pancreatic tissue with
hemorrhage and escape of pancreatic juice in addition to local exudation accounts for the accumulation
of fluid.
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