[Simple and infected pancreatic pseudocysts. Methods of ultrasonography-guided percutaneous needle aspiration: results]. / Pseudocisti pancreatiche semplici e infette. Metodica dell'agoaspirazione percutanea ecoguidata: risultati.

ABSTRACT

BACKGROUND: Personal experience in the treatment of seven pancreatic pseudocysts (four infected and one causing a high intestinal occlusion due to compression on the duodenum) is reported. METHODS: In these emergency situations, which are very risky with the traditional surgical treatments, the percutaneous needle-aspiration with needle of Ciba 22 gauge allowed to overcome the critical phase. RESULTS: In none of the cysts there was a Wirsung's obstruction preventing the defluxion towards the papilla, that's why ductal effraction, being the origin of the pseudocyst, healed spontaneously even if it required many needle-aspiration treatments. CONCLUSIONS: This is the needle-aspiration has been the only approach to the complete elision of the cavity. The methodology used has been described in detail.