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06-06-2008, 09:55 PM
Aetiology:
1- Residual cyst after pancreatitis.
2- perforated post. gastric ulcer.
Clinical Picture:
Cystic abdominal swelling which may give transmitted pulsation from the abd. aorta.{d.d. with aortic aneurysm, pulsation disappear in knee elbow position}
Investigations:
1) Ultrasonography.
2) Barium meal: stomach appears pushed away from the vertebral bodies with attenuated dye inside the stomach.
Treatment:
1) Cystogastrostomy is the best line for drainage.
2) Open drainage carries the risk of pancreatic fistula
SOURCE: DR. AYMAN SALEM'S BOOK
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