• 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
• Sequel to either acute or chronic pancreatitis
• Residuum of necrotic pancreatic tissue
• Associated with alcohol, gallstones or other etiologies of pancreatitis
• 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.
• Cotran RS, Kumar V, Robbins SL: Robbins Pathologic Basis of Disease. 5th ed. Philadelphia, W.B. Saunders, 1994, pp. 904.