Relevance: The frequency of cysts and cystic formations of the pancreas is steadily
increasing every year. This is due to many factors: an increase in the incidence of acute
pancreatitis, an increase in the incidence of traumatic injuries of the pancreas, an
increase in the incidence of destructive pancreatitis of various etiologies, as well as a
high incidence of opisthorchiasis in the population of endemic regions. Approximately
25% of patients with chronic pancreatitis have a cystic lesion of the pancreas. .[1] One
of the serious problems of hepatobiliary surgery is the surgical treatment of cystic lesions
of the pancreas. This disease is characterized by a high percentage of relapses after
surgical interventions [7] Cystic transformation of the pancreas is most common in
adults, this pattern is more associated with social problems of society, in particular
alcohol abuse Rapid expansion of data on the general views of the pancreas, its physiology
was observed at the beginning XIX century. In the mid-late 19th and early 20th centuries,
important data were obtained on the physiological role of the organ, along with this,
ideas about the clinic, symptomatology, and diagnosis of diseases of the organ began to
take shape [8]. Most pancreatic cysts are asymptomatic and are most often detected
incidentally during diagnostic studies performed for symptoms or causes unrelated to
the cyst.[2,7] Rarely, the primary clinical presentation may be due to a symptomatic cyst
and manifest as acute pancreatitis, jaundice, bleeding, or a palpable mass.[4]
In regions not equipped with imaging technology, or under limited criteria, pancreatic
cysts may be found in later stages, thus referring to their larger size or progression to
neoplasia. The most common presentation in patients with symptomatic cysts is pain.
Pain may be a warning factor for possible malignant transformation, especially in postpancreatic pseudocysts, while the risk of malignancy may be associated with the duration
of symptoms [3,5,6].