Kamran Ahmed Malik, Ghulam Mustafa Nandwani, Asadullah Khan.
Percutaneous Drainage of a Pancreatic Pseudocyst: A case report.
J Surg Pak Jan ;6(4):34-5.

A case of pancreatic pseudocyst managed by percutaneous external drainage (PED) under ultrasound guidance with the help of a catheter is presented. This treatment modality is not common in our set-up. The PED is now well established as an effective alternate to surgery. The method is simple, inexpensive and safe.

Case Report: A young man suffered trauma to the epigastric region from motorbike handle and was treated for pancreatitis at a local hospital. Two weeks later he developed epigastric mass with persistent vomiting and was then referred to Jinnah Postgraduate Medical Centre. Here he was on conservative treatment but symptoms did not resolve. Ultrasonography revealed pancreatic pseudocyst involving the lesser sac with compression effect on stomach Ultrasound guided aspiration was carried out and a catheter left in the cyst cavity; 2000 ml of fluid drained on the first day and subsequently, draining fluid decreased in quantity and the patient became better. On the third day catheter was removed and the patient sent home. Weekly followup for 4 weeks and later every 6 months has revealed no complication. After 1.5 years patient is alright with no symptoms.

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