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Clinical features

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

Authoring team

Pancreatic pseudocysts have the following points of interest in the history:

  • severe epigastric pain
  • epigastric fullness
  • nausea and vomiting
  • systemic manifestations of cyst infection - sweating, fever, rigors
  • recent history of acute pancreatitis

On examination:

  • with large cysts, a mass is felt above the umbilicus that is fixed, tender and classically, tense. Its borders may be hard to define
  • smaller cysts are commonly impalpable

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