Treatment of pancreatic pseudocyst in a developing country: A case reports

Pancreatic pseudocysts occur more frequently following acute alcoholic pancreatitis than after biliary pancreatitis. Its frequency is estimated between 5 and 15% of cases in literature. We report 2 cases of pancreatic pseudocysts. One was diagnosed preoperatively by ultrasound and CT-scan and the other intraoperatively after an ultrasound diagnosis of liver abscess. We performed a cysto-jejunostomy in both cases. The postoperative course was uneventful in 2 cases, with resumption of transit on the 3rd postoperative day, recovery of oral feeding respectively the 5th and the 6th postoperative day. Cystojejunostomy is an efficient technique with low morbidity in the management of pseudo cysts of the pancreas, well suited for developing countries. It is relatively easy to perform and has the advantage of adapting to all cystic locations.