Abstract
The major etiologies of pancreatic pseudocysts are generally considered to be traumatic and nontraumatic pancreatitis. Acceptance of surgical therapy for pancreatic pseudocysts is wide-spread, but there is a lack of agreement concerning the most suitable operative method. Pancreatic pseudocysts are associated with severe complications, infection, hemorrhage and perforation during the preoperative course. Further, they rarely undergo spontaneous resolution. Thirdly, there is little possibility of malignancy. Recently, after external drainage, a partial pancreatectomy, total gastrectomy and spleenectomy were carried out in a case of infected pancreatic pseudocyst. The results were good in terms of decreasing the incidence of recurrence and other complications.
The results suggest that a positive individualized approach is necessary for traumatic pancreatic pseudocysts.