Cyst-Gastrostomy (4 of 5)

Endoscopic image of Cyst-Gastrostomy. Pseudocysts occur after an acute attack of pancreatitis in approximately 10 percent of cases, Most pseudocysts are asymptomatic They can, however, produce a wide range of clinical problems depending upon the location and extent of the fluid collection. Expansion of the pseudocyst can produce abdominal pain, duodenal or biliary obstruction, vascular occlusion, or fistula formation into adjacent viscera, the pleural space, or pericardium. Can develop Spontaneous infection with abscess formation. Pancreatic ascites and pleural effusion can result from disruption of the pancreatic duct, leading to fistula formation to the abdomen or chest, or rupture of a pseudocyst with tracking of pancreatic juice into the peritoneal cavity or pleural space. Digestion of an adjacent vessel can result in a pseudoaneurysm, which can produce a sudden expansion of the cyst or gastrointestinal bleeding due to bleeding into the pancreatic duct (hemosuccus pancreaticus).