Cysts of the pancreas

Cysts of the pancreas represent encysted cavity, resulting in iron and growing beyond, but directly associated with it.
The etiology and pathogenesis. Retention cysts arise as a result of blockage of the large or small of duct cancer and stagnation in them secret. The reason for the blockage can be stones, swelling, scarring. After necrosis or inflammation of the pancreas formation of cysts in the obstruction of the ducts contribute sclerotic changes affecting absorption of secret through the lymphatic system. Above any blocked duct is formed saccular extension. Cysts sometimes reach the size of a baby's head.
Pathological anatomy. Wall retention cysts is newly formed connective tissue lined degenerative changed epithelium stretched excretory ducts of the pancreas. Cysts are usually filled with serous blood fluid containing pancreatic enzymes, cellular debris and often concrements of carbonate and phosphate of lime.
Cystadenoma are tumors glandular tissue, capable of generating a secret. Wall these cysts covered by a cylindrical epithelium, forming numerous buds. Under the epithelium is rich in blood vessels connective tissue with plots growing into her glandular tissue. Located near cystadenoma may merge and form a multi-kitomi up to great value and contains a significant amount (up to several liters) transparent or slightly turbid, rich in enzymes liquid. Cystadenoma or are characterized by a benign course, or turn into cysts adenocarcinoma.
In the pancreas are also congenital dermoid and if Echinococcus cyst. Significant practical importance of false cysts (pseudocyst, custody - results of traumatic haemorrhage and necrotic processes in the pancreas. Wall cysts formed by connective tissue and is devoid lining epithelium.
Cysts of the pancreas is a rare disease. Growing cyst is embedded between the different bodies: the stomach and transverse colon rectum, stomach and the liver, etc. Cysts, hanging down on the leg, could be located in the lower abdomen.
Clinical symptomatology. Small cysts occur sometimes totally asymptomatic and are detected only at section table. Often cysts (especially large) evoke the feeling of heaviness in the abdomen, permanent or periodic dull pain in the upper half of radiating to the back and the left half of the body. Sometimes pain become paroxysmal character. Brutal pain occur at a pressure of cysts on the sun and verkhnerusskoe nerve plexus.
Large cysts be felt in the form fluktuiruyushchimi tumor, usually between the stomach and the transverse colon rectum. The tumor often seen even during the inspection.
Depending on localization cysts can exert pressure on the authorities to shift the stomach, duodenum and colon intestine, press the left ureter (hydronephrosis), the common bile duct and large vessels of the abdominal cavity. If the cyst leads to atrophy of the tissues of the pancreas, combined with pancreatitis or violates the outflow of secret, there is dropping of external and sometimes internal secretion of the pancreas. In this case, the diagnostic importance of digestive disorders and carbohydrate metabolism, the study of duodenal contents, enzymes of blood and urine.
The diagnosis is based on detection fluktuiruyushchimi tumors in the upper abdomen in combination with symptoms of violation of external or internal secretion of the pancreas. In punctata (puncturevine unsafe) are frequently found specific enzymes.
Cyst located between the liver and stomach can be taken for Echinococcus liver or enlarged gallbladder.
With the growth of cysts left she can simulate a cyst or tumor of the left kidney, hydronephrosis, to be adopted at an enlarged spleen. When the cysts are in the epigastric region, its easy to be mistaken for a tumor of the stomach, pancreas head cancer or inflammatory infiltrate in the abdominal cavity.
X-ray examination of the gastrointestinal tract with the imposition of pneumoperitoneum clarifies the relationship cysts to neighbouring organs and excludes others with similar symptoms of the disease. You should pay attention to the provision in the history of the trauma of the abdomen, peritoneal phenomena and acute pancreatitis. In unclear cases, the diagnosis with certainty is solved trial laparotomy.
Possible complications include gap cysts, abscesses, twisting legs and malignant degeneration.
The prognosis of the disease depends on the effectiveness of surgical treatment and the nature of the organic changes in other organs of the abdominal cavity. Treatment of cysts surgical.