CLINICAL STUDY OF PANCREATIC CYSTS.A REVIEW OF 25 CASES WITH EMPHASIS ON PANCREATOCRAMS.

Abstract

During the six years, pancreatogram were taken in 25 patients with pancreatic cyst. Etiologically, there were 17 chronic pancreatitis, 2 acute pancreatitis, 4 posttaumatic, 1 postoperation and 1 cystadenocarcinoma. All patients complained of abdominal pain and abdominal mass was palpable in 17 cases (68%). The pancreatograms of pancreatic cyst were classified into 5 types, the filled type (60%), the obstructed type (12%), the displaced type (4%), the mixed type (20%) and the normal type (4%). The differential diagnosis between pancreatic cyst and other pancreatic diseases in each type of pancreatograms, were discussed. The diagnosis of pancreatic cyst and other pancreatic diseases can be made with high accuracy in most patients by x-ray studies of hypotonic dnodenography, but by cholangiography it is difficult unless the cyst is large, in size. By EPCG (endoscopic pancreatocholangiography), abdo-minal angiography and new addition of ultrasound and CT (computerised tomngraphy), clinical problems of accurate preoperative diagnosis of pancreatic cyst will be resolved.