Pancreatic pseudocyst in the head, neck, or body with communication to the pancreatic duct
When a pancreatic pseudocyst is situated in the head, neck, or body of the pancreas, the relationship between the pseudocyst and the pancreatic duct is a critical determinant of management. Confirming or excluding ductal communication on imaging directly shapes which drainage strategy is appropriate.
Clinical scenario: Pseudocyst located in the head, neck, or body of the pancreas, with confirmed communication between the pseudocyst and the pancreatic duct detected on imaging studies.
Treatment approach (partial)
When ductal communication is confirmed, an endoscopic drainage approach targeting the ductal anatomy is indicated — the complete structured regimen, including procedural details and decision criteria, is available in the full protocol.
References
DOI: 10.1097/MD.0000000000000960
- When the pseudocyst is located in the head, body, or neck of the pancreas, the relationship between the pseudocyst and the pancreatic duct needs to be initially evaluated.
- If a communication between them is detected on imaging studies, endoscopic drainage via the transpapillary approach can be performed.
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