How does aunt gland cyst do?

summary

Pancreatic cysts include true cysts, pseudocysts and cystic tumors, which are caused by congenital or acquired factors. Due to cyst compression, intraluminal and / or pancreatic duct hypertension, patients may have abdominal pain, digestive system symptoms, abdominal mass and other clinical manifestations. Due to pancreatic parenchymal lesions, pancreatic endocrine and endocrine dysfunction may occur. * true cysts include congenital cyst, polycystic disease, dermoid cyst, retention cyst, etc. the inner wall of the cyst is covered with epithelium. Cystic tumors include cystic adenoma and cystic carcinoma. The wall of pseudocyst is composed of fibrous tissue, not covered with epithelial tissue. Pseudocyst is the most common pancreatic cyst in clinic. So how does cyst of gland of aunt do? I'd like to share my views with you.

How does aunt gland cyst do?

Treatment 1: in fact, the clinical manifestations of different types of cysts are similar. In addition to the related symptoms of the primary disease, most small pancreatic cysts have no obvious symptoms. For larger cysts, due to cyst compression, cystic cavity and (or) pancreatic duct high pressure, patients may have upper abdominal or posterior back pain, digestive system symptoms (fullness, nausea and vomiting, constipation, jaundice), abdominal mass and other manifestations. If the cyst ruptured into the abdominal cavity, there was acute peritonitis; Rupture into the digestive tract can form fistula, and repeated high fever, abdominal pain, and even upper gastrointestinal bleeding. Because of pancreatic parenchymal lesions, pancreatic endocrine and endocrine dysfunction may occur, such as diabetes, steatosis and so on.

Treatment 2: in acute pancreatitis or pancreatic trauma, persistent upper abdomen, nausea and vomiting, weight loss, fever and other symptoms, abdominal touch cystic mass, should first consider the possibility of pseudopancreatic cyst formation. Timely examination, combined with clinical imaging and other auxiliary examination results can make a diagnosis.

Treatment 3: emergency operation; When the cyst rupture, bleeding, secondary infection and other life-threatening, emergency external drainage operation (incision and drainage or bag suture) should be performed. Attention should be paid to supplement water, electrolyte and systemic treatment. Another operation was performed after fistula formation. True cysts generally do not adhere tightly to the surrounding tissues, and are easy to peel off. They can also be removed from the pancreas together with cysts.

matters needing attention

Two to four months after the formation of pseudocyst, the operation was selected according to the degree and scope of the lesion. Splenectomy in the tail of pancreas is feasible; Cystogastrostomy, cystduodenostomy and Roux-Y Cystojejunostomy were performed in the head and body of pancreas. Anastomotic stoma should be large enough to prevent countercurrent infection. Before operation, the intestinal tract should be cleaned, neomycin should be taken orally, and vitamin K should be injected intramuscularly.