PERCUTANEOUS DRAINAGE OF PANCREATIC PSEUDOCYSTS GUIDED BY ULTRASOUND

Abstract

Pseudocyst of the pancreas that is not improved by conservative treatment has conventionally been treated by surgery, but percutaneous cystic drainage is coming to be used as emergency treatment for some cases in which the cyt rapidly becomes enlarged or which show severe inflammatory symptoms. We carried out percutaneous cystic drainage under ultrasonic guide with favorable results in the following 3 patients with pseudocyst of the pancreas; Patient 1: a 55-year-old man with giant pseudo cyst of the pancreas developing after trauma of the pancreas; Patient 2: a 35-year-old woman with pseudocyst of the pancreas developing after operation for pancreatic adenoma; Patient 3: a 55-year-old man with pseudocyst of the pancreas due to chronic pancreatitis. Percutaneous cystic drainage could provide symptomatic remission in these three patients, and the former 2 showed healing as a result of the drainage alone. Patient 3 underwent caudal pancreatectomy after improvement in systemic symptoms resulting from communication with the major pancreatic duct. Then the condition became healed. The percutaneous cystic drainage is, therefore, considered to be useful as an emergency treatment for pseudocyst of the pancreas and it has been proved to be a possible radical therapy.