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General Surgery · Pancreatic surgery: pseudocyst
Sample itemSeveral weeks after acute pancreatitis, a patient has persistent epigastric fullness and a well-circumscribed fluid collection without epithelial lining. What is most likely?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Pancreatic pseudocyst
A pancreatic pseudocyst is an encapsulated enzyme-rich fluid collection developing after pancreatitis or pancreatic trauma and lacks a true epithelial lining. Symptoms and complications determine need for intervention.
Option by option
A. Liver abscess
Liver abscess is within hepatic tissue and usually infective.
B. Splenic rupture
Splenic rupture follows trauma and causes hemoperitoneum.
C. Pancreatic adenocarcinoma
Adenocarcinoma is a solid malignant epithelial tumor.
D. Pancreatic pseudocyst (correct)
Correct. Timing after pancreatitis and absent epithelial lining define pseudocyst.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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