Clinical features
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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