What is Pancreatic Pseudocyst?
A Pancreatic Pseudocyst is a fluid-filled sac that forms in the pancreas, typically as a complication of pancreatitis or pancreatic trauma. Unlike true cysts, pseudocysts lack a true epithelial lining and contain pancreatic enzymes, inflammatory debris, and necrotic tissue. While some pseudocysts resolve on their own, others may grow larger and require medical intervention.

Causes of Pancreatic Pseudocyst
Acute or Chronic Pancreatitis – Inflammation of the pancreas can lead to fluid collection.
Pancreatic Trauma – Injury to the pancreas may result in pseudocyst formation.
Ductal Obstruction – Blockage of the pancreatic ducts can lead to fluid accumulation.
Post-Surgical Complications – Pancreatic surgeries can sometimes lead to pseudocyst development.
Symptoms of Pancreatic Pseudocyst
Persistent abdominal pain, especially in the upper abdomen
Nausea and vomiting
Bloating and a feeling of fullness
Unintended weight loss
Fever (if infection occurs)
Jaundice (if bile ducts are compressed)
Diagnosis
Dr. Vikram Lotwala employs advanced diagnostic tools to assess pancreatic pseudocysts:
Ultrasound – Initial imaging to detect fluid-filled cystic structures.
CT Scan / MRI – Provides detailed imaging to assess cyst size, location, and complications.
Endoscopic Ultrasound (EUS) – Allows precise imaging and potential drainage of the pseudocyst.
Blood Tests – To check for signs of infection or pancreatic dysfunction.
Treatment Options
The management of pancreatic pseudocysts depends on their size, symptoms, and potential complications. Dr. Vikram Lotwala offers both conservative and interventional treatments.
Non-Surgical Management
Observation – Small, asymptomatic pseudocysts may resolve without intervention.
Medications – Pain relief, enzyme supplementation, and antibiotics (if infection is present).
Dietary Modifications – Low-fat, easily digestible meals to reduce pancreatic stress.
Minimally Invasive & Surgical Treatments
Endoscopic Drainage – A minimally invasive procedure using an endoscope to drain the pseudocyst into the stomach or small intestine.
Percutaneous Drainage – A needle-guided procedure to drain fluid externally.
Surgical Cystogastrostomy / Cystojejunostomy – Creating a direct connection between the pseudocyst and the stomach or small intestine to allow drainage.
Why Choose Dr. Vikram Lotwala?
Dr. Vikram Lotwala is a leading expert in pancreatic disorders, specializing in minimally invasive treatments for pancreatic pseudocysts. With a patient-centric approach, he ensures precise diagnosis, effective treatment, and long-term management.
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If you are experiencing symptoms of a pancreatic pseudocyst, early diagnosis and timely intervention can prevent complications. Contact Dr. Vikram Lotwala today to receive expert pancreatic care.