Pancreatic Pseudocyst in Federal Medical Centre; Gombe and Review of Literature

Pseudocyst arises from pancreatic inflammation or ductal disruption and is the commonest cystic lesion of the pancreas. Although spontaneous resolution is common particularly in its early phase; progression of the cyst may culminate in grave consequences for the patient. The aim of the study is to highlight the presentation; management and outcome of pseudocyst in an environment where it is reportedly uncommon. Case series with review of literature. Although pancreatic pseudocyst is not very frequently seen in this environment; it is not entirely rare but is frequently misdiagnosed. Non specific symptoms in the early stage and subsequent confusion with various intra abdominal pathologies are among the reasons for late diagnosis and delayed intervention. Pseudocyst is amenable to surgical treatment. Early recognition is imperative in preventing complications and in defining the true incidence of this disease entity in our locality. Clinical suspicion in every setting of pancreatitis complemented by serum amylase estimations and early ultrasound scan will improve the diagnosis

Pancreatic pseudocysts in Nigerian children

Pancreatic pseudocyst is uncommon in childhood and there is a paucity of literature on its occurrence in Nigeria. This was a retrospective study to highlight the clinical presentation and outcome of management of pancreatic pseudocyst in childhood. Twelve patients were managed in 6 years in 3 hospitals in north-central; Nigeria. There were seven girls and five boys. The median age at presentation was 5.8 years. The patients presented usually with abdominal pain; abdominal mass and fever. There was definite history of trauma in only two patients. Abdominal utrasonography suggested the diagnosis in 10 of the 11 patients examined. Non operative management with ultrasound monitoring was successful in one patient. The others had surgical internal drainage. The procedures performed were cystgastrostomy (7 patients); cystjejunostomy (3 patients) and cyst duodenostomy in one patient. The post-operative period was uneventful in all patients. There was no mortality recorded. The median duration of hospital stay was 8 days. There was no recurrence in three patients available for long term follow up. Pancreatic pseudocyst should be included in the differential diagnosis of abdominal masses in childhood. As is evidenced in this series the prognosis in childhood following prompt surgical intervention is good

Large Adrenal Pseudocyst. Report of a Case

Authors report a case of large adrenal pseudocyst in a 53 year-old woman. A voluminous abdominal mass with malnutrition and dehydration symptoms were found. Surgical excision was difficult but complete after 6L fluid aspiration. Histologic examination showed fibrous and inflammatory cystic wall with groups of adrenal cells. No epithelial lining was present and the diagnosis of adrenal pseudocyst was made. Pathogenesis; histology; diagnosis and management were discussed