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Pseudocyst

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Pseudocyst

Pseudocysts are like cysts, but lack epithelial or endothelial cells. Initial management consists of general supportive care. Symptoms and complications caused by pseudocysts require surgery. Computed tomography (CT) scans are used for initial imaging of cysts, and endoscopic ultrasounds are used in differentiating between cysts and pseudocysts. Endoscopic drainage is a popular and effective method of treating pseudocysts.

This is not to be confused with the so-called "pseudocystic appearance", mainly radiographically, of other lesions, such as Stafne static bone cyst and aneurysmal bone cyst of the jaws.

Pseudocysts are often asymptomatic. Symptoms are more common in larger pseudocysts, though the size and time present usually are poor indicators of potential complications.

Pancreatic pseudocysts may cause abdominal pain, nausea and vomiting, a bloated feeling, and trouble eating or digesting food. They also may become infected, rupture, or block part of the intestine. Rarely, the infected pseudocyst causes jaundice or sepsis.

Mediastinal pseudocysts, a rare form of pancreatic pseudocysts in the abdomen, may cause dysphagia, dyspnea, airway obstruction, or cardiac tamponade.[citation needed]

Adrenal pseudocysts may cause abdominal pain, along with various gastrointestinal symptoms such as nausea, vomiting, and constipation.

Pancreatic pseudocysts are often caused by acute or chronic pancreatitis. They may also be caused by trauma to the abdomen, with a higher frequency in children. Pseudocysts are more often present in chronic pancreatitis patients than acute pancreatitis patients. Also, if the pancreatitis is alcohol induced, there is a higher incidence of pseudocysts. These alcohol-related pseudocysts account for 59%-78% of all pancreatic pseudocysts. Actual pancreatic pseudocyst incidence is small, at around 1.6%-4.5%, or .5-1 per 100,000 adults per year.

Types of adrenal cysts include parasitic cysts, epithelial cysts, endothelial cysts, and pseudocysts. 56% of all adrenal cyst-like changes are pseudocysts, and only 7% of those pseudocysts are malignant or potentially malignant.

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