For the patient in the preceding question, symptomatic recurrence at 3 weeks after aspiration is confirmed ultrasonographically. Endoscopic retrograde pancreatography does not demonstrate communication of a major pancreatic duct with the pseudocyst. Appropriate management includes which of the following?
A. Pancreatectomy to include the pseudocyst
B. Cystgastrostomy
C. Repeat aspiration followed by injection of sodium morrhuate into the pseudocyst cavity
D. Pancreatic debridement followed by external drainage
Answer:B
For the patient in the preceding question, symptomatic recurrence at 3 weeks after aspiration is confirmed ultrasonographically. Endoscopic retrograde pancreatography does not demonstrate communication of a major pancreatic duct with the pseudocyst. Appropriate management includes which of the following?
A. Pancreatectomy to include the pseudocyst B. Cystgastrostomy C. Repeat aspiration followed by injection of sodium morrhuate into the pseudocyst cavity D. Pancreatic debridement followed by external drainage