Which one is not true regarding pseudocyst of pancreas: (A) Increase level of amylase, (B) Epigastric mass, (C) Cystogastrostomy is the ideal T/t, (D) Percutaneus aspiration is the T/t
Answer is D. Percutaneous aspiration is preferred only in cases of infected cyst and abscesses, other wise internal drainage is the t/t of choice. Epigastric mass is the main symptom of the pseudocyst. Increased level of amylase is usually elevated with pancreatic pseudocysts Ref - Srb's manual of surgery 5e p690