Pancreatic cysts and pseudocysts associated with acute and chronic pancreatitis.
We reviewed 106 consecutive patients with cysts or pseudocysts of the pancreas associated with pancreatitis. A pancreatic fluid collection (PFC) was defined as a limited collection containing pancreatic juice either pure or with pus or blood. Seventy-seven patients presented with chronic pancreatitis (CP) and 29 patients presented with acute pancreatitis (AP). CP-associated PFC was observed in young alcoholic men (mean age 40.8 years) on a high fat, protein, and carbohydrate diet. None of this group had gallstones. In this population, PFC was located in the head of the pancreas in 68% of the cases, was partly extrapancreatic in 22% of the cases, and resolved spontaneously in 9%. AP-associated PFC was as frequent in nonalcoholic men as in nonalcoholic women and presented with gallstones in 48%. They developed later (mean age 53.0 years), resolved spontaneously in 20%, and were located in the body or tail of the gland in 69%. CP-PFC may be designated retention cysts or retention pseudocysts (extrapancreatic); AP-PFC may be designated necrotic pseudocysts.
Bourliere
M
M
Clinique des Maladies de l'Appareil Digestif et de la Nutrition, Hôpital Sainte Marguerite, Marseille, France.
Sarles
H
H
D000208:Acute Disease; D000328:Adult; D000437:Alcoholism / Q000150:complications; D002908:Chronic Disease; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010181:Pancreatic Cyst / Q000150:complications* / Q000175:diagnosis / Q000473:pathology; D010192:Pancreatic Pseudocyst / Q000150:complications / Q000175:diagnosis / Q000473:pathology; D010195:Pancreatitis / Q000150:complications* / Q000175:diagnosis / Q000473:pathology; D011446:Prospective Studies; D013997:Time Factors; D014463:Ultrasonography