Endoscopic transgastric drainage of pseudopancreatic cyst.

Abstract

Pseudopancreatic cyst is an uncommon but not a rare complication of acute pancreatitis and injury to the pancreas. Majority of the large pseudopancreatic cysts need drainage. The early method of drainage by marsupilisation is rarely practiced because of the high incidence of secondary infection, cutaneous digestion of skin of the abdominal wall and residual persistent fistula. Internal drainage by cystogastrostomy or cystojejunostomy depending on the location of the cyst, is the commonest method of treatment. Excision of pseudopancreatic cyst and ultrasonically guided aspiration have been carried out in selected cases. 1 We are reporting a case of cyst drained by endoscopic transgastric method and suggesting this as a new method of treatment which can be performed under local anaesthetic and does not require abdominal exploration.