XXXX of the pancreas. Considerations upon 34 operated cases.

@entity1 @entity788 @entity5 @entity45 @entity9007
AIM: To point out the morphologic, clinic and therapeutic aspects of @entity788 . MATERIAL AND METHOD: 34 @entity788 (21 males and 13 females, aged between 21 and 68 years), admitted in the last 15 years were analyzed. They were true cysts in 3 cases (9.9%) and @entity9007 in 31 cases (91.1%), located on the head of the pancreas in 8 cases, on the body in 19, on the tail in 6 and on the body and tail in 1 case. We noticed in the past medical history of the @entity1 with @entity9007 a recent acute @entity788 attack (26 cases), chronic @entity788 (4 cases) or a recent abdominal trauma (1 case). The delay between the acute @entity788 attack and the onset of the pseudocyst varied between 18 days and 2 months. The diagnosis was established by clinical picture (Shefer-Silvis triad), laboratory findings and imaging tests (barium meals, ultrasound test and/or CT test). Thirty cases (27 @entity9007 and 3 true @entity5 ) were operated on: the main surgical procedures were cystogastrostomy (12 cases), cystojejunostomy (6 cases) or cystoduodenostomy (3 cases); we also performed distal pancreatectomy (3 cases), laparostomy or external drainage in 5 cases. RESULTS: We registered 1 death (mortality rate of 3.3%), 2 pancreatic fistulae, 1 @entity788 and 2 recurrences. CONCLUSIONS: 1. The pseudocyst, as an evolutionary complication of acute or chronic @entity788 , is the most frequent @entity5 , true @entity45 being extremely rare. 2. The diagnosis is established by clinical pictures, laboratory findings and imaging tests. 3. The treatment is surgical, cystogastrostomy or cystojejunostomy being the main surgical procedures.
