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PSEUDOCYSTS OF THE PANCREAS; TOTAL EXCISION: Report of a Case

PSEUDOCYSTS OF THE PANCREAS; TOTAL EXCISION: Report of a Case Abstract PANCREATIC cysts are still encountered so infrequently in the clinical experience of any one surgeon that the question of their proper treatment is still of interest. According to Berkay,1 pseudocysts of the pancreas constitute 40 per cent of all pancreatic cysts. Table 1 summarizes the experience of thirty-five contributors in the past, between the years 1861 and 1949, in which 306 proved pseudocysts of the pancreas were encountered and 40 of these, or 13.07 per cent, were completely excised. On the basis of these facts, the available literature has been summarized, the records of 209,813 consecutive patients admitted at the Hollywood Presbyterian Hospital in the past twenty-five years studied and the following case report submitted. HISTORY Claessen2 in 1842 reviewed the literature and made a collection of individual case reports of pancreatic cysts. Friedreich3 in 1878 stated: "The treatment [of cysts of the pancreas] must be of References 1. Berkay, F. M.: Pseudocysts of the Pancreas and External Drainage , J. Internat. Coll. Surgeons 11:403-420 ( (July-Aug.) ) 1948. 2. Claessen, H. J.: Die Krankheiten der Bauchspeicheldrüse , Cologne, M. Du Mont-Schauberg, 1842, p. 368. 3. Friedreich, N.: Cysts of the Pancreas , in von Ziemssen, H.: Cyclopedia of the Practice of Medicine , New York, William Wood & Company, 1878, vol. 8, p. 615. 4. Körte, W.: Die chirurgischen Krankheiten und die Verletzungen des Pankreas , in von Bergmann and von Bandl: Deutsche Chirurgie , Stuttgart, F. Enke, 1898, vol. 45, p. 234. 5. Cited by Berkay.1 6. Cited by Berkay.1 7. Oser, L.: Diseases of the Pancreas , in Nothnagel, H.: Encyclopedia of Practical Medicine , Philadelphia, W. B. Saunders Company, 1903, p. 180. 8. McWhorter, G. Lewis: Cysts of Pancreas , Arch. Surg. 11:619-632 ( (Oct.) ) 1925.Crossref 9. Körte, W.: Zur Behandlung der Pankreascysten und Pseudocysten , Deutsche med. Wchnschr. 37:536-538 ( (March 23) ) 1911.Crossref 10. Lazarus, P.: Beitrag zur Pathologie und Therapie der Pankreaserkrankungen mit besonderer Berücksichtigung der Cysten und Steine , Ztschr. f. klin. Med. 51:203-210, 1904. 11. Cited by Berkay.1 12. Shallow, T. A.; Eger, S. A., and Wagner, F. B., Jr.: Acute Pancreatitis: Medical and Surgical Management , Postgrad. Med. 2:288-301 ( (Oct.) ) 1947. 13. Rabinovitch, J., and Pines, B.: Cysts of the Pancreas , Arch. Surg. 45:727-746 ( (Nov.) ) 1942.Crossref 14. Judd, E. S.; Mattson, H., and Mahorner, H. R.: Pancreatic Cysts: Report of 47 Cases , Arch. Surg. 22:838-849 ( (May) ) 1931.Crossref 15. Meyer, K. A.; Sheridan, A. I., and Murphy, R. F.: Pseudocysts of the Pancreas: Report of 31 Cases , Surg., Gynec. & Obst. 88:219-229 ( (Feb.) ) 1949. 16. Pinkham, R. D.: Pancreatic Collections (Pseudocysts) Following Pancreatitis and Pancreatic Necrosis , Surg., Gynec. & Obst. 80:225-235 ( (March) ) 1945. 17. Lloyd, J.: Injury to the Pancreas: A Cause of Effusion into the Lesser Peritoneal Cavity , Brit. M. J. 2:1051-1054 ( (Nov. 12) ) 1892. 18. Railton, T. C.: A Case of Pancreatic Cyst in an Infant , Brit. M. J. 2:1318-1319 ( (Oct. 31) ) 1896. 19. Cited by Rabinovitch and Pines.13 20. Ehla, C. E.: Case of Congenital Pancreatic Cyst , J. A. M. A. 78:1294-1295 ( (April 29) ) 1923. 21. Mayo, W. J.: Pancreatic Cyst , Med. Rec. 45:168 ( (Feb. 10) ) 1894. 22. Russ, W. B.: Pseudocyst of Pancreas Apparently Due to Hemorrhagic Necrosis Occurring During the Course of General Sepsis , J. A. M. A. 77:620-621 ( (Aug. 20) ) 1921. 23. Primrose, A.: Pancreatic Cysts and Pseudocysts: Report of a Case of Total Extirpation by an Extraperitoneal Method , Surg., Gynec. & Obst. 34:431-436 ( (April) ) 1922. 24. Takayasu, M.: Beitrag zur Chirurgie des Pancreas , Mitt. a. d. Grenzgeb. Med. u. Chir. 3:89-96, 1898. 25. Johnson, T. A., and Lee, W. E.: Pancreatic Cyst: Report of 5 Cases , S. Clin. North America 22:1677-1692, 1942. 26. Kerr, A. A.: Cysts and Pseudocysts of Pancreas, with Report of Cases , Surg., Gynec. & Obst. 27:40-44 ( (July) ) 1918. 27. Anglem, T. J., and Lee. W. F.: Acute Pancreatitis and Its Sequelae , Arch. Surg. 58:484-488 ( (April) ) 1949. 28. le Dentu, M.: Rapport sur l'observation précédente , Bull. Soc. anat. de Paris 10:197-198 ( (March) ) 1865. 29. Bonneau, R.: Pseudo-kystes traumatiques , Presse méd. 30:701-702 ( (Aug. 16) ) 1922. 30. Elman, R. and Lemmer, R. A.: The Pancreas: Contributions of Clinical Interest Made in 1947 , Gastroenterology 12:375-390 ( (March) ) 1949. 31. Archibald, E.: The Experimental Production of Pancreatitis in Animals as the Result of the Resistance of the Common Duct Sphincter , Surg., Gynec. & Obst. 28:529-545 ( (June) ) 1919. 32. White, H.: Diseases of the Pancreas , Guy's Hosp. Rep. 54:17-63, 1897. 33. Angel, E.: Pancreatic Cysts , South. Med. & Surg. 100:57-61 ( (Feb.) ) 1938. 34. Adams, R., and Nishijima, R. A.: Surgical Treatment of Pancreatic Cysts , Surg., Gynec. & Obst. 83:181-187 ( (Aug.) ) 1946. 35. Warren, K. W.: Pancreatic Cysts , S. Clin. North America 28:753-760 ( (June) ) 1948. 36. Poer, D. H., and Stephenson, R. H.: Late Results in Treatment of Pancreatic Cysts by Internal Drainage , Surg., Gynec. & Obst. 89:257-263 ( (Sept.) ) 1949. 37. Hersche, J.: Operation einer Pankreascyste von seltener anatomischer Lagerung , Wien. klin. Wchnschr. 5:727-728 ( (Dec. 22) ) 1892. 38. Payr, E.: Pankreascyste: seltene Topographie, Operation und Heilung , Wien. klin. Wchnschr. 11:629-631 ( (June 30) ) 1898. 39. Bozeman, N.: Removal of a Cyst of the Pancreas Weighing 20I/2 Pounds , Med. Rec. 21:46-47 ( (Jan. 14) ) 1882. 40. Willis, A. M., and Budd, S. W.: Pancreatic Cysts with Report of a Case , Surg., Gynec. & Obst. 20:688-691 ( (June) ) 1915. 41. Judd, E. S.: Cysts of the Pancreas , Minnesota Med. 4:75-82 ( (Feb.) ) 1921. 42. Bouman, H. A. H.: Pancreatic Cyst in Left Hypochondrium: Total Extirpation , Minnesota Med. 5:697-706 ( (Dec.) ) 1922. 43. Harrison, C., and Cooper, F.: Traumatic Pseudocyst of the Pancreas , J. Tennessee M. A. 36:299-304 ( (Aug.) ) 1943. 44. Lahey, F. H., and Lium, R.: Cure of Pancreatic Fistula by Pancreatojejunostomy: Report of a Case with Review of the Literature , Surg. Gynec. & Obst. 64:79-88 ( (Jan.) ) 1937. 45. Mousseau, L. P., and Kling, S.: Pancreatic Pseudocyst , Canad. M. A. J. 59:550-554 ( (Dec.) ) 1948. 46. Lahey, F. H. and Lium, R.: Cure of Pancreatic Fistula by Pancreatojejunostomy: Report of a Case with Review of the Literature , Surg., Gynec. & Obst. 64:79-88 ( (Jan.) ) 1937. 47. Acuff, H.: Management of Diseases of the Pancreas , South. Surgeon 13:209-220 ( (March) ) 1947. 48. Gussenbauer, C.: Zur operativen Behandlung der Pankreas-Cysten , Arch. f. klin. Chir. 29:355-359, 1883. 49. Chesterman, J. T.: Treatment of Pancreatic Cysts , Brit. J. Surg. 30:234-235 ( (Jan.) ) 1943.Crossref 50. Hamilton, C. S.: Prolonged and Profuse Postoperative Drainage of Pancreatic Cyst and Use of Radium , Surg., Gynec. & Obst. 35:655-657 ( (Nov.) ) 1922. 51. Bickford, B. J.: Traumatic Pseudo-Cyst of the Pancreas with Pleural Effusion: Report of 2 Cases , Brit. M. J. 1:1134-1135 ( (June 12) ) 1948. 52. Gordin, A. E.: Pancreatic Cysts Treated by Operation in Conjunction with Sclerosing Agent , Ann. Surg. 106:1095-1096 ( (Dec.) ) 1937. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

PSEUDOCYSTS OF THE PANCREAS; TOTAL EXCISION: Report of a Case

Archives of Surgery , Volume 61 (3) – Sep 1, 1950

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American Medical Association
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Copyright © 1950 American Medical Association. All Rights Reserved.
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0004-0010
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1538-3644
DOI
10.1001/archsurg.1950.01250020529012
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Abstract

Abstract PANCREATIC cysts are still encountered so infrequently in the clinical experience of any one surgeon that the question of their proper treatment is still of interest. According to Berkay,1 pseudocysts of the pancreas constitute 40 per cent of all pancreatic cysts. Table 1 summarizes the experience of thirty-five contributors in the past, between the years 1861 and 1949, in which 306 proved pseudocysts of the pancreas were encountered and 40 of these, or 13.07 per cent, were completely excised. On the basis of these facts, the available literature has been summarized, the records of 209,813 consecutive patients admitted at the Hollywood Presbyterian Hospital in the past twenty-five years studied and the following case report submitted. HISTORY Claessen2 in 1842 reviewed the literature and made a collection of individual case reports of pancreatic cysts. Friedreich3 in 1878 stated: "The treatment [of cysts of the pancreas] must be of References 1. Berkay, F. M.: Pseudocysts of the Pancreas and External Drainage , J. Internat. Coll. Surgeons 11:403-420 ( (July-Aug.) ) 1948. 2. Claessen, H. J.: Die Krankheiten der Bauchspeicheldrüse , Cologne, M. Du Mont-Schauberg, 1842, p. 368. 3. Friedreich, N.: Cysts of the Pancreas , in von Ziemssen, H.: Cyclopedia of the Practice of Medicine , New York, William Wood & Company, 1878, vol. 8, p. 615. 4. Körte, W.: Die chirurgischen Krankheiten und die Verletzungen des Pankreas , in von Bergmann and von Bandl: Deutsche Chirurgie , Stuttgart, F. Enke, 1898, vol. 45, p. 234. 5. Cited by Berkay.1 6. Cited by Berkay.1 7. Oser, L.: Diseases of the Pancreas , in Nothnagel, H.: Encyclopedia of Practical Medicine , Philadelphia, W. B. Saunders Company, 1903, p. 180. 8. McWhorter, G. Lewis: Cysts of Pancreas , Arch. Surg. 11:619-632 ( (Oct.) ) 1925.Crossref 9. Körte, W.: Zur Behandlung der Pankreascysten und Pseudocysten , Deutsche med. Wchnschr. 37:536-538 ( (March 23) ) 1911.Crossref 10. Lazarus, P.: Beitrag zur Pathologie und Therapie der Pankreaserkrankungen mit besonderer Berücksichtigung der Cysten und Steine , Ztschr. f. klin. Med. 51:203-210, 1904. 11. Cited by Berkay.1 12. Shallow, T. A.; Eger, S. A., and Wagner, F. B., Jr.: Acute Pancreatitis: Medical and Surgical Management , Postgrad. Med. 2:288-301 ( (Oct.) ) 1947. 13. Rabinovitch, J., and Pines, B.: Cysts of the Pancreas , Arch. Surg. 45:727-746 ( (Nov.) ) 1942.Crossref 14. Judd, E. S.; Mattson, H., and Mahorner, H. R.: Pancreatic Cysts: Report of 47 Cases , Arch. Surg. 22:838-849 ( (May) ) 1931.Crossref 15. Meyer, K. A.; Sheridan, A. I., and Murphy, R. F.: Pseudocysts of the Pancreas: Report of 31 Cases , Surg., Gynec. & Obst. 88:219-229 ( (Feb.) ) 1949. 16. Pinkham, R. D.: Pancreatic Collections (Pseudocysts) Following Pancreatitis and Pancreatic Necrosis , Surg., Gynec. & Obst. 80:225-235 ( (March) ) 1945. 17. Lloyd, J.: Injury to the Pancreas: A Cause of Effusion into the Lesser Peritoneal Cavity , Brit. M. J. 2:1051-1054 ( (Nov. 12) ) 1892. 18. Railton, T. C.: A Case of Pancreatic Cyst in an Infant , Brit. M. J. 2:1318-1319 ( (Oct. 31) ) 1896. 19. Cited by Rabinovitch and Pines.13 20. Ehla, C. E.: Case of Congenital Pancreatic Cyst , J. A. M. A. 78:1294-1295 ( (April 29) ) 1923. 21. Mayo, W. J.: Pancreatic Cyst , Med. Rec. 45:168 ( (Feb. 10) ) 1894. 22. Russ, W. B.: Pseudocyst of Pancreas Apparently Due to Hemorrhagic Necrosis Occurring During the Course of General Sepsis , J. A. M. A. 77:620-621 ( (Aug. 20) ) 1921. 23. Primrose, A.: Pancreatic Cysts and Pseudocysts: Report of a Case of Total Extirpation by an Extraperitoneal Method , Surg., Gynec. & Obst. 34:431-436 ( (April) ) 1922. 24. Takayasu, M.: Beitrag zur Chirurgie des Pancreas , Mitt. a. d. Grenzgeb. Med. u. Chir. 3:89-96, 1898. 25. Johnson, T. A., and Lee, W. E.: Pancreatic Cyst: Report of 5 Cases , S. Clin. North America 22:1677-1692, 1942. 26. Kerr, A. A.: Cysts and Pseudocysts of Pancreas, with Report of Cases , Surg., Gynec. & Obst. 27:40-44 ( (July) ) 1918. 27. Anglem, T. J., and Lee. W. F.: Acute Pancreatitis and Its Sequelae , Arch. Surg. 58:484-488 ( (April) ) 1949. 28. le Dentu, M.: Rapport sur l'observation précédente , Bull. Soc. anat. de Paris 10:197-198 ( (March) ) 1865. 29. Bonneau, R.: Pseudo-kystes traumatiques , Presse méd. 30:701-702 ( (Aug. 16) ) 1922. 30. Elman, R. and Lemmer, R. A.: The Pancreas: Contributions of Clinical Interest Made in 1947 , Gastroenterology 12:375-390 ( (March) ) 1949. 31. Archibald, E.: The Experimental Production of Pancreatitis in Animals as the Result of the Resistance of the Common Duct Sphincter , Surg., Gynec. & Obst. 28:529-545 ( (June) ) 1919. 32. White, H.: Diseases of the Pancreas , Guy's Hosp. Rep. 54:17-63, 1897. 33. Angel, E.: Pancreatic Cysts , South. Med. & Surg. 100:57-61 ( (Feb.) ) 1938. 34. Adams, R., and Nishijima, R. A.: Surgical Treatment of Pancreatic Cysts , Surg., Gynec. & Obst. 83:181-187 ( (Aug.) ) 1946. 35. Warren, K. W.: Pancreatic Cysts , S. Clin. North America 28:753-760 ( (June) ) 1948. 36. Poer, D. H., and Stephenson, R. H.: Late Results in Treatment of Pancreatic Cysts by Internal Drainage , Surg., Gynec. & Obst. 89:257-263 ( (Sept.) ) 1949. 37. Hersche, J.: Operation einer Pankreascyste von seltener anatomischer Lagerung , Wien. klin. Wchnschr. 5:727-728 ( (Dec. 22) ) 1892. 38. Payr, E.: Pankreascyste: seltene Topographie, Operation und Heilung , Wien. klin. Wchnschr. 11:629-631 ( (June 30) ) 1898. 39. Bozeman, N.: Removal of a Cyst of the Pancreas Weighing 20I/2 Pounds , Med. Rec. 21:46-47 ( (Jan. 14) ) 1882. 40. Willis, A. M., and Budd, S. W.: Pancreatic Cysts with Report of a Case , Surg., Gynec. & Obst. 20:688-691 ( (June) ) 1915. 41. Judd, E. S.: Cysts of the Pancreas , Minnesota Med. 4:75-82 ( (Feb.) ) 1921. 42. Bouman, H. A. H.: Pancreatic Cyst in Left Hypochondrium: Total Extirpation , Minnesota Med. 5:697-706 ( (Dec.) ) 1922. 43. Harrison, C., and Cooper, F.: Traumatic Pseudocyst of the Pancreas , J. Tennessee M. A. 36:299-304 ( (Aug.) ) 1943. 44. Lahey, F. H., and Lium, R.: Cure of Pancreatic Fistula by Pancreatojejunostomy: Report of a Case with Review of the Literature , Surg. Gynec. & Obst. 64:79-88 ( (Jan.) ) 1937. 45. Mousseau, L. P., and Kling, S.: Pancreatic Pseudocyst , Canad. M. A. J. 59:550-554 ( (Dec.) ) 1948. 46. Lahey, F. H. and Lium, R.: Cure of Pancreatic Fistula by Pancreatojejunostomy: Report of a Case with Review of the Literature , Surg., Gynec. & Obst. 64:79-88 ( (Jan.) ) 1937. 47. Acuff, H.: Management of Diseases of the Pancreas , South. Surgeon 13:209-220 ( (March) ) 1947. 48. Gussenbauer, C.: Zur operativen Behandlung der Pankreas-Cysten , Arch. f. klin. Chir. 29:355-359, 1883. 49. Chesterman, J. T.: Treatment of Pancreatic Cysts , Brit. J. Surg. 30:234-235 ( (Jan.) ) 1943.Crossref 50. Hamilton, C. S.: Prolonged and Profuse Postoperative Drainage of Pancreatic Cyst and Use of Radium , Surg., Gynec. & Obst. 35:655-657 ( (Nov.) ) 1922. 51. Bickford, B. J.: Traumatic Pseudo-Cyst of the Pancreas with Pleural Effusion: Report of 2 Cases , Brit. M. J. 1:1134-1135 ( (June 12) ) 1948. 52. Gordin, A. E.: Pancreatic Cysts Treated by Operation in Conjunction with Sclerosing Agent , Ann. Surg. 106:1095-1096 ( (Dec.) ) 1937.

Journal

Archives of SurgeryAmerican Medical Association

Published: Sep 1, 1950

References