NON SURGICAL-MANAGEMENT OF PANCREATIC PSEUDOCYST - 2 CASE-REPORTS ANDREVIEW OF THE LITERATURE

We report two patients who had non-surgical management of Pancreatic P seudocyst. The firts patient presented with acute pancreatitis and int estinal obstruction, had laparatomy and found to have hemorrhagic panc reatitis and impacted gallstone in terminal item which was removed. Tw o weeks after laparatomy U/S and CT showed a dilated CBD and two Pancr eatic Pseudocysts. ERCP showed dilated CBD. Endoscopic sphincterotomy and stent insertion in CBD and Cystoduodenostomy was done. A percutane ous drainage was done for the pseudocyst involving the body of the pan creas. The second patient presented abdominal pain and clinically had an abdominal mass which was shown by CT as Pseudopancreatic cyst. This was drained percutaneously and given treatment with somatostatin with good outcome.