@article{ajmcr2015366,
author={{ML, GU¨¨YE and AO, TOUR¨¦ and I, KONAT¨¦ and M, SECK and O, THIAM and M, CISSE and O, K? and M, DIENG and A, DIA and CT, TOUR¨¦},
title={Conservative Management of a Large-sized Pancreatic Pseudocyst: A Case Report},
journal={American Journal of Medical Case Reports},
volume={3},
number={6},
pages={170--173},
year={2015},
url={http://pubs.sciepub.com/ajmcr/3/6/6},
issn={2374-216X},
abstract={<i>Background</i>: The management of pancreatic pseudocyst involves several treatment options. Among them figure predominantly the surgical, endoscopic and percutaneous drainages. Conservative management is a therapeutic alternative especially for small sized pseudocysts. Larger cysts, more than 6 cm in diameter, are usually treated surgically. However, it had been reported some cases of large-sized pancreatic pseudocyst that had regressed spontaneously. It raises the question about the systematic treatment in large-sized pancreatic pseudocyst. <i>Case presentation</i>: A 55-year-old man who had a 40-year history of alcoholism and a medical history of acute pancreatitis 3 weeks prior to his presentation was sent for an abdominal exploration by CT scan. The CT scan showed a pancreatic pseudocyst of 13 cm in diameter. Meanwhile the patient was just complaining of epigastric pain that was well managed by analgesics. A conservative management was then decided. At the follow-up, CT scan was realized at the 1st, the 3rd and the 5th month. It showed a decreasing of the size of the cyst. Moreover, the CT scan done 3 years after the onset, showed a strictly normal pancreatic parenchyma. <i>Conclusion</i>: Conservative management is a feasible alternative therapy in large pancreatic pseudocysts, bearing in mind a rigorous clinical and radiological monitoring of the patient.},
doi={10.12691/ajmcr-3-6-6}
publisher={Science and Education Publishing}
}