What Is a Pancreatic Pseudocyst?
A pancreatic pseudocyst is a fluid-filled sac that forms adjacent to the pancreas. Unlike true cysts, it lacks a cellular lining and contains digestive juices plus tissue debris. Pseudocysts most often develop after an episode of acute or chronic pancreatitis (ICD-10: K86.3).
Common Causes and Risk Factors
- Acute or chronic pancreatitis
- Heavy alcohol consumption
- Gallstones
- Abdominal trauma
- Pancreatic surgery or endoscopic procedures
Signs and Symptoms
- Upper abdominal pain or discomfort
- A tender lump or swelling under the ribs
- Nausea and vomiting
- Feeling full quickly after meals
- Poor appetite or unexplained weight loss
- Fever (if the pseudocyst becomes infected)
Expert Treatment for Pancreatic Pseudocyst by Dr. Bharat Pothuri
Dr. Pothuri uses a step-by-step approach:
Medical History and Exam
He reviews your history of epigastric pain, prior pancreatitis or gallstones, alcohol use, recent abdominal surgery, and any signs of fullness or swelling.
Blood Tests
Laboratory studies include pancreatic enzymes (amylase, lipase), liver function tests, complete blood count to look for infection, and inflammatory markers.
Imaging Studies
- CT scan of the abdomen -gold standard for visualizing pseudocyst size, location, and relation to nearby structures.
- MRI/MRCP -detailed view of the pancreatic ductal system and cyst characteristics without radiation.
- Endoscopic ultrasound (EUS) -high-resolution images and opportunity for guided fluid sampling if needed.
Advanced Testing (if needed)
If there's concern for infection or hemorrhage, fluid from the pseudocyst can be aspirated under EUS or CT guidance for analysis of amylase levels, cultures, and cytology.
Frequently Asked Questions
How long does it take to heal?
Small pancreatic pseudocysts may resolve on their own within 4-6 weeks. Larger pseudocysts or those causing symptoms often require drainage or extended monitoring with imaging.
Is a pancreatic pseudocyst cancer?
No. A pancreatic pseudocyst is a fluid collection without a true cellular lining. It's not cancerous, but it can lead to complications if left untreated.
Will I need more than one CT scan?
Typically, you'll have an initial CT scan to confirm the pseudocyst and follow-up imaging every few weeks or months to track its size and healing. Dr. Pothuri will recommend the optimal schedule for you.
Are there risks with drainage?
Minimally invasive drainage carries low risks-such as bleeding, infection, or leakage. Dr. Pothuri uses advanced endoscopic and image-guided techniques to minimize these complications.
Can I prevent a pseudocyst?
While not all pseudocysts can be prevented, you can reduce your risk by managing pancreatitis triggers: avoid excessive alcohol, treat gallstones promptly, and follow your physician's guidance on pancreatic health.
What treatments do you offer at GastroDoxs?
We provide comprehensive care-including dietary guidance, medication management, endoscopic drainage, percutaneous catheter drainage, and surgery when necessary-all tailored to your condition.
Do I need to fast before tests?
Yes. Fasting for 6-8 hours is usually required before CT scans or endoscopic procedures. Our team will give you clear, step-by-step instructions before your appointment.