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Pancreatic Pseudocyst
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Pancreatic 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
(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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