Traumatic pancreatic pseudocysts

Abstract

Between 1991 and 1996,18 patients were treated for pan¬creatic pseudocyst at the Mersin State Hospital. The etiol¬ogy of the cysts were blunt abdominal trauma in 5 patients (% 27). 4 out of 5 those cases, cysts were localized in the body of the pancreas and in one case, it was localized in the tail of the pancreas. Three patients were treated by in¬ternal drainage with a cystojejunostomy (Roux-en-Y) and one patient was treated by external drainage. The patient who had a cyst in the tail of pancreas 5 cm in diameter was treated conservatively and spontaneous regression was observed. The patient who had external drainage died because of sepsis on the second day after the operation. The period of follow-up varied from 10 to 36 months in 4 patients. There was no recurrence during this period.

Özet

1991-1996 tarihleri arasında Mersin Devlet Hastane-si'nde pankreas psödokisti nedeniyle 18 hasta tedavi edil¬di. 5 hastada (%27) kunt karın travması etiyolojisi mev¬cuttu. 4 hastada psödokist pankreas gövdesinde, bir has¬tada ise pankreas kuyruğunda lokalizeydi. 3 hastaya inter¬nal dre-naj (Roux-en-Y kistojejunöstomi), bir hastaya eksternal drenaj yapıldı. Pankreas kuyruğunda 5 cm çapında psödokisti olan bir hastada konservatif davranıldı ve kistin spontan rezorbsiyonu gözlendi. Eksternal drenaj yapılan hasta postoperatif 2. gün sepsis nedeniyle kaybe¬dildi. Post-operatif dönemde 4 hasta 10-36 ay arası takip edildi ve bu dönem içinde nüks görülmedi.