Diagnostics of postnecrotic pancreatic cysts (review of literature)

The problem of diagnosing postnecrotic cysts of the pancreas is considered in this article. The characteristics of laboratory (determination of the level of amylase, cytological research of punctate, determination of tumor markers) and radiation (ultrasound, endosonography, RCP, MSCT, etc.) methods of research of this pathology are presented, their specificity in the differential diagnosis of cystic formations, depressurization of the main pancreatic duct and formation of the cyst wall is considered. We concluded that the use of radiation methods of research significantly improves the diagnosis of pseudocyst of the pancreas and allows to choose a rational treatment tactics and an adequate surgical intervention.

Pancreatic Pseudocyst with Mediastinal Extension Presenting as Pseudo-Kirklin Sign—Multimodality Imaging

A mass lesion of the gastric cardia or fundus causing an alteration in the normal regular, translucent gastric fundal air shadow on a frontal erect chest radiograph is referred to as “the Kirklin sign.” Here we present “Pseudo-Kirklin sign” observed on the frontal radiograph of a 46-year-old male patient due to a soft tissue shadow/contour deformity of the fundal gas shadow caused by pseudocyst of the pancreas. We evaluated the patient using plain radiography, contrast enhanced computed tomography, magnetic resonance imaging, and endoscopic ultrasound (EUS) with the cyst drained under EUS guidance. So far only two cases of mediastinal pseudocysts have been drained successfully by EUS-guided aspiration.

Laparoscopic Pancreatic Pseudocystogastrostomy, Series Case Report

Background: Pancreatic pseudocysts (PPC) are the most common complications of acute and chronic pancreatitis. Almost half is spontaneously resolved, and the rest requires surgical intervention if it is symptomatic or complicated. The options for surgical intervention are open, minimally invasive laparoscopic surgery. However, there is an option for endoscopic or percutaneous ultrasonic guided drainage. Three cases of pancreatic pseudocysts (PPC) are presented and are managed entirely by laparoscopic pancreatic pseudocystogastrostomy (LPPCG) and other options discussed. Case Summary: Three cases of large pseudocyst of the pancreas are presented with a similar story and different age. All of them are presented as a complication of microlithiasis of gallbladder stones. The patients underwent complete blood and biochemical investigations. The Ultrasonography was supported by a computerized tomography (CT) of the abdomen to identify the relationship with the gastric wall. All were prepared preoperatively and underwent posterior pancreatic pseudocystogastrostomy laparoscopic stapling. The postoperative period was uneventful and the patients followed it between 8 months, 2 years and 6 years with excellent resolution [1]. Conclusion: The laparoscopic pancreatic pseudocystogastrostomy (LPPCG) is a minimally invasive procedure that proves to be excellent in the drainage and resolution of the pseudocyst of the pancreas. No complications or recurrences were found in this small series study and few complications and low recurrence are mentioned in literature works. Therefore, we recommend having a large number of similar cases to conclude that it is the best minimally invasive procedure for the treatment of the pseudocyst of the pancreas.