<prompt> All are ture about pseudopancreatic cyst of pancreas except :Common after acute pancreatitisPresents as an abdominal massSerum amylase is increasedMost common site is in head of pancreas  <response>: Answer is D Mostly present in head of pancreas Sho bowel syndrome massive small bowel resection is associated with Hypergastrinemia. Most common site for pseudopancreatic cyst is the body and tail ofpancreas - Harrison Pseudopancreatic cyst called pseudo because they do not have an epithelial lining Etiology : Site : Diagnosis: Pancreatitis 90 most 85 are seen in body and tail - Serum amylase level is elevated commonQ 15 are seen in head - Sonography is the investigation of Trauma 10Q choiceQ Complications : Factors indicating possibility of hemorrhage - X-Ray : Pseudocysts may be localized, displacing some poion ofgitQ Pain due to expansion Increase in size Haemorrhage Localized brui over massQ Rupture Sudden decrease in Ilb or Abscess hematocritQ Management Pseudocyst 5cm diameter is an indications for drainageQ Pseudocyst less than 5 cm in diameter and less than 6 weeks old should be observed e,as they tend to resolve spontaneously Initial management : USCT guided, single or repeated needle aspirations Later : patients who do not respond to above modality are treated with surgical therapy preferred modality : Internal drainage of cyst by cystojejunostomy. Q 