Pseudocyst of Pancreas

Comprehensive Diagnosis & Surgical Care for Pancreatic Fluid Collections

What Is a Pancreatic Pseudocyst?

A pancreatic pseudocyst is a fluid-filled sac that forms in or around the pancreas, usually as a complication of acute or chronic pancreatitis. Unlike true cysts, pseudocysts are not lined by epithelial cells—they are surrounded by inflammatory or fibrous tissue.

While some pseudocysts resolve on their own, others may grow, become infected, or cause pain and obstruction, requiring medical or surgical intervention.

Causes of Pancreatic Pseudocysts

• Acute pancreatitis (often alcohol or gallstone-related)
• Chronic pancreatitis
• Pancreatic trauma or injury
• Blockage of the pancreatic duct
• Rarely, complications of pancreatic surgery or infections

Symptoms

• Persistent abdominal pain or bloating
• A palpable lump or mass in the upper abdomen
• Nausea and vomiting
• Loss of appetite or weight loss
• Jaundice (if bile ducts are compressed)
• Infected pseudocysts may cause fever and sepsis

Many pseudocysts are found incidentally, but symptomatic or large cysts need evaluation and possibly drainage.

Diagnosis

Diagnosis typically involves imaging studies to determine size, location, and complications:

• Ultrasound or CT Scan – To identify fluid collection and size
• MRI / MRCP – Detailed imaging of the pancreatic ducts
• Endoscopic Ultrasound (EUS) – For precise evaluation and guided drainage
• Blood tests – To assess pancreatic enzymes and signs of infection

Treatment Options

The choice of treatment depends on the size (>5cm), symptoms, location, and risk of complications.

1. Observation

• Small, asymptomatic pseudocysts may be monitored with regular imaging
• Many resolve spontaneously in 4–6 weeks

2. Endoscopic Drainage (EUS-guided)

• Minimally invasive technique using an endoscope
• Internal drainage into the stomach or intestine
• Preferred for uncomplicated pseudocysts adjacent to the stomach wall

3. Percutaneous Drainage

• A needle catheter is placed through the skin under CT or ultrasound guidance
• Typically used for infected pseudocysts or in high-risk surgical patients

4. Surgical Drainage

• Required for large, complicated, recurrent, or inaccessible pseudocysts
• Laparoscopic or Robotic Cystogastrostomy / Cystojejunostomy
  • Internal drainage with faster recovery, less pain
• Open surgery in rare, complex cases

Why Choose Us?

• 30+ years of specialized experience in pancreatic surgery
• Trained at AIIMS New Delhi, with deep expertise in HPB (Hepato-Pancreato-Biliary) procedures
• Pioneer in robotic pancreatic surgeries for precision and faster healing
• Offers multidisciplinary care with expert gastroenterologists and radiologists
• High success rates in treating chronic pancreatitis and related pseudocysts

Your Recovery Begins with Expert Care

A pancreatic pseudocyst is a treatable condition—but timely diagnosis and the right intervention are key to avoiding complications.