eng Science and Education Publishing American Journal of Medical Case Reports 2374-216X 2015-05-19 3 6 170 173 10.12691/ajmcr-3-6-6 AJMCR2015366 article GUÈYE ML laminegueye269@gmail.com 1 TOURÈ AO 2 KONATÈ I 3 SECK M 4 THIAM O 4 CISSE M 4 KÂ O 4 DIENG M 4 DIA A 5 TOURÈ CT 5 General surgeon, surgical resident, Aristide Le Dantec Hospital, Dakar, Sénégall General surgeon, Aristide Le Dantec Hospital, Dakar Sénégal Department of Surgery, University Gaston Berger, St Louis/Senegal General surgeon, professor assistant chief, Aristide Le Dantec Hospital, Dakar Sénégal 5General surgeon, surgical resident, Aristide Le Dantec Hospital, Dakar, Sénégal Background: 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. Case presentation: 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. Conclusion: Conservative management is a feasible alternative therapy in large pancreatic pseudocysts, bearing in mind a rigorous clinical and radiological monitoring of the patient. http://pubs.sciepub.com/ajmcr/3/6/6/ajmcr-3-6-6.pdf pancreatic pseudocyst conservative treatment alcoholic pancreatitis complication