Koo Jonathan Ga, Liau Matthias Yi Quan, Kryvoruchko Igor A, Habeeb Tamer Aam, Chia Christopher, Shelat Vishal G
Department of General Surgery, Khoo Teck Puat Hospital, Singapore 768828, Singapore.
Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore 308232, Singapore.
World J Gastrointest Surg. 2024 Jul 27;16(7):1986-2002. doi: 10.4240/wjgs.v16.i7.1986.
A pancreatic pseudocyst is defined as an encapsulated fluid collection with a well-defined inflammatory wall with minimal or no necrosis. The diagnosis cannot be made prior to 4 wk after the onset of pancreatitis. The clinical presentation is often nonspecific, with abdominal pain being the most common symptom. If a diagnosis is suspected, contrast-enhanced computed tomography and/or magnetic resonance imaging are performed to confirm the diagnosis and assess the characteristics of the pseudocyst. Endoscopic ultrasound with cyst fluid analysis can be performed in cases of diagnostic uncertainty. Pseudocyst of the pancreas can lead to complications such as hemorrhage, infection, and rupture. The management of pancreatic pseudocysts depends on the presence of symptoms and the development of complications, such as biliary or gastric outlet obstruction. Management options include endoscopic or surgical drainage. The aim of this review was to summarize the current literature on pancreatic pseudocysts and discuss the evolution of the definitions, diagnosis, and management of this condition.
胰腺假性囊肿被定义为一个有完整包膜的液体积聚，其炎性壁界限清晰，极少或没有坏死。胰腺炎发病4周之前无法做出诊断。临床表现通常不具特异性，腹痛是最常见的症状。如果怀疑有诊断，需进行增强计算机断层扫描和/或磁共振成像以确诊并评估假性囊肿的特征。在诊断存在不确定性的情况下，可进行内镜超声检查并分析囊液。胰腺假性囊肿可导致诸如出血、感染和破裂等并发症。胰腺假性囊肿的处理取决于症状的存在以及并发症的发展情况，如胆管或胃出口梗阻。处理选项包括内镜引流或手术引流。本综述的目的是总结关于胰腺假性囊肿的当前文献，并讨论该病症定义、诊断和处理的演变。
