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Management of a Complicated Pancreatic Pseudocyst: Report of a Case and Review of the Literature

Apostolos Αngelis, Stylianos Kykalos, Zoe Garoufalia, Elli Karatza, Nikolaos Garmpis, Christos Damaskos, Theodore Karatzas

Case report Herein we present a case of a huge complicated pancreatic pseudocyst following an episode of acute necrotizing pancreatitis, the treatment approaches and a short review of the literature. Methods An on-line survey in PubMed was conducted using the terms “acute pancreatitis-complications”, “pancreatic pseudocyst” and “pancreatic pseudocyst treatment”. We also used the data from the file of the patient regarding his treatment. Results Treatment of a pancreatic pseudocyst is a challenging process requiring a close follow-up of the patient and a fully equipped institution with medical team ready to cope against any possible complications of the different therapeutic interventions including open surgery. Conclusion Pancreatic pseudocyst is a complication of acute or chronic pancreatitis which should be managed closely for a longstanding period and treated effectively by endoscopic and surgical means, either alone or in combination, so that the outcome of this complication to be in favor of the patient.