Pancreatic Pseudocyst

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Abstract
Obstructive jaun-dice resulting from compression of the common bile duct by a pancreatic pseudocyst is uncommon. Five patients with this complication, have been treated at this medical center during the past 4 years. The clinical picture presented by patients having obstructive jaundice due to pseudocysts of the head of the pancreas and pancreatic carcinoma may be very similar, but a correct preoperative differentiation of these two lesions is possible. The significant clinical and roentgeno-graphic features which appear differentiate these two lesions, as well as other diagnostic criteria. Successful management of these pseudo-cysts is primarily dependent upon surgical decompression by internal drainage. Although the specific type of internal drainage should vary according to the position of the cyst, cystoduodenostomy may be used effectively in those pseudocysts of the head of the pancreas which are in close relationship to the duodenum, provided that the importance of the anatomic relationships of the biliary and pancreatic ducts are recognized.