Pseudocyst
Pseudocyst

• A pancreatic pseudocyst in the tail of the pancreas has been ressected together with the spleen

• The original pancreatic inflammation which led to the pseudocyst has also led to adherance with the spleen

• The pseudocyst has a shaggy lining and is surrounded by dense white scar consistent with its inflammatory origin


(Image Contrib. by:Hartford Hospital)(Description by: Martin Nadel, M.D.)
T59000M33490
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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


Clinical

• Treatment by drainage into stomach or resection


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 Micro Description

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


Reference

• Cotran RS, Kumar V, Robbins SL: Robbins Pathologic Basis of Disease. 5th ed. Philadelphia, W.B. Saunders, 1994, pp. 904.


• Current literature from PubMed at National Library of Medicine


Synopsis by: Melinda Sanders M.D., UCHC
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