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Pancreatic Pseudocyst
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Pancreatic Pseudocyst

The pancreas has been hemisected
The irregular shaggy wall and the dense white fibrous lining suggest a pseudocyst rather than a true cyst
(Description By:Martin Nadel, M.D. )
(Image Contrib. by: Hartford Hospital )
Pseudocyst
Etiology

Sequel to either acute or chronic pancreatitis
Pathogenesis

Residuum of necrotic pancreatic tissue,
Epidemiology

Associated with alcohol, gallstones or other etiologies of pancreatitis
General Gross Description

Usually unilocular intra- or peripancreatic cyst containing heterogeneous material including old blood
Wall may be very dense
May communicate with pancreatic duct system
General Microscopic Description

Pseudocyst has no epithelial lining and contains blood clot, hemosiderin laden macrophages, cholesterol clefts.
Clinical Correlation

Treatment by drainage into stomach or resection
References

Cotran RS, Kumar V, Robbins SL: Robbins Pathologic Basis of Disease. 5th ed. Philadelphia, W.B. Saunders, 1994, pp. 904.
Pseudocyst
Synopsis by: Melinda Sanders M.D. (T59000M33490)[46]
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