A prospective clinical study of pseudo cyst of pancreas in Coimbatore Medical College Hospital, Coimbatore

Sivakumar, A (2014) A prospective clinical study of pseudo cyst of pancreas in Coimbatore Medical College Hospital, Coimbatore. Masters thesis, Coimbatore Medical College, Coimbatore.

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Abstract

BACKGROUND AND OBJECTIVE: Pseudocyst of pancreas is a complication of acute or chronic pancreatitis. It occurs in 5-15% of patients. It takes about 4-8 weeks to develop. In spite of aggressive treatment and recent advances in the management of acute pancreatitis there is increased incidence of pancreatitis and related complications. Hence I chose to study the incidence, clinical profile, diagnosis and outcome of various modalities of treatment of pseudocyst of pancreas. METHODS: 30 Patients were selected from general surgery outpatient and inpatient department of Coimbatore Medical College and Hospital (CMCH). Detailed history and thorough clinical examination has made and recorded. Basic and definitive investigations were done. Patients were managed by various modalities like conservative, percutaneous, laparoscopic and endoscopic drainage, surgeries like cystogastrostomy, cystojejunostomy and cystoduodenostomy. Data like duration of hospital stay, results of conservative and or surgical management and their complications if any, size of pseudo cyst on follow-up were collected. The final outcome is observed in terms of most common age group and gender affected most common etiology symptom, sign, risk factor, associated complications and treatment given in CMCH, Coimbatore set up and follow-up findings. RESULTS: Majority of patients belongs to the age group of 31-50 which constituted 19 patients in this study with male : female ratio of 5:1. Alcohol consumption was the most common etiological factor. Patient’s most common presentation was abdominal pain and tenderness. Clinically mass was palpable in 66.6% of the patients studied but USG and CT scan detected pseudo cyst in all patients. Conservative management was effective in uncomplicated pseudo cyst till they regress or mature when surgical intervention could be done. The result of internal drainage was excellent which was done in 43.3% of patients. The most common post operative complications include pain abdomen and wound infection and was seen in 26.6% of patients in this study. INTERPRETATION AND CONCLUSION: Pseudo cyst of pancreas is the most common complication following acute pancreatitis. Early diagnosis and timely intervention with the use of serial USG and internal drainage for mature cyst, external drainage for complicated cyst results in good prognosis.

Item Type: Thesis (Masters)
Uncontrolled Keywords: Pseudo cyst of pancreas ; Ultrasonogram (USG) ; Computed Tomogram (CT) ; internal drainage ; external drainage.
Subjects: MEDICAL > General Surgery
Depositing User: Devi S
Date Deposited: 06 Jul 2018 16:26
Last Modified: 07 Jul 2018 17:39
URI: http://repository-tnmgrmu.ac.in/id/eprint/8679

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