Pseudocyst Formation in Chronic Pancreatitis

Chronic Pancreatitis with Benign Biliary Obstruction: Management Issues

“…Bile duct stricture occurs as a consequence of a chronic inflammatory process that results in periductal fibrosis and stricture [13, 14]. While pseudocyst contributes to BBO in these patients it is seldom the sole cause of obstruction [4, 15]. In the present series only two patients had pseudocyst as the primary cause of biliary obstruction as jaundice resolved with the drainage of a pseudocyst.…”

Obstructive jaundice due to pancreatic pseudocyst in a pediatric patient

“…In order to provide clarity to the patho-physiology of pseudocysts causing jaundice, Sidel et al [1] proposed that four criteria must be met in order to prove that pseudocyst is the only culprit. They are: (i) presence of biliary obstruction, (ii) demonstration that the CBD is compressed by the pseudocyst, (iii) relief of biliary obstruction by drainage of the pseudocyst, (iv) complete disappearance of jaundice in the postoperative period.…”

“…Since majority of the pseudocysts arise from the body and tail, they rarely produce obstructive jaundice [1]. We present a previously asymptomatic boy with a mass in the abdomen and obstructive jaundice found to be having a pseudocyst of pancreas during operation.…”

Biliopancreatic fistula with portal vein thrombosis caused by a pancreatic pseudocyst

“…Compression and stenosis of the distal common bile duct by the pseudocyst or pancreatitis can cause obstructive jaundice and cholangitis. Obstructive jaundice by compression of the pancreatic pseudocyst without biliopancreatic fistula has been successively treated by pancreatic cyst drainage [18][19][20]. If obstructive jaundice with biliopancreatic fistula is caused mainly by compression of pancreatic pseudocyst, pancreatic pseudocyst drainage must be effective for resolving jaundice.…”