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Question

Which of the following are local complications of acute pancreatitis? 

1. Pseudocyst 

2. Pleural effusion 

3. Ileus 

4. Acute fluid collection 

Select the correct answer using the code given below.

The correct answer is
1, 2 and 4

Acute Pancreatitis: Local Complications Explained

Local complications of acute pancreatitis are issues that arise directly within or immediately adjacent to the pancreas itself. Identifying these is crucial for diagnosis and management.

Analysis of Potential Complications

We need to determine which of the listed conditions are specifically local complications:

  • Pseudocyst (1): This is a collection of fluid, enzymes, and debris that forms near the pancreas. It's considered a common local complication.
  • Pleural effusion (2): Fluid in the lung cavity. While it can have systemic causes, it is often linked directly to pancreatic inflammation extending locally and is frequently categorized as a local complication.
  • Ileus (3): This refers to the bowel's inability to contract normally, leading to a blockage. It's typically viewed as a functional or systemic complication driven by inflammation, not a direct structural change to the pancreas or its immediate vicinity.
  • Acute fluid collection (4): This involves fluid accumulating within or around the pancreas shortly after the onset of pancreatitis. This is a defining characteristic of early local complications.

Identifying the Correct Combination

Based on the definitions, Pseudocyst (1), Pleural effusion (2), and Acute fluid collection (4) are considered local complications. Ileus (3) is generally classified differently.

Therefore, the correct option includes items 1, 2, and 4.

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Important Questions from Hepatobiliary & Pancreatic Surgery

  1. Which among the following are complications of liver trauma? 

    1. Liver abscess 

    2. Biliary fistula 

    3. Portal thrombosis 

    4. Liver failure 

    Select the correct answer using the code given below.

  2. Which of the following are risk factors for the development of pancreatic cancer? 

    1. Cigarette smoking 

    2. Diabetes mellitus 

    3. Caucasian ethnicity 

    4. Male gender 

    Select the correct answer using the code given below.

  3. Which of the following are options for management of a pancreatic pseu- docyst? 

    1. Pancreaticoduodenectomy 

    2. Cystogastrostomy 

    3. Percutaneous drainage 

    4. Endoscopic drainage 

    Select the correct answer using the code given below :

  4. Which of the following statements regarding hepatic adenomas are correct? 1. They are almost exclusively seen in females aged 25-50 years 2. They are associated with use of oral contraceptive pills 3. They do not have any malignant potential 4. Majority are detected incidentally on imaging Select the correct answer using the code given below :
  5. Which of the following are probable sites for Ectopic pancreas ? 

    1. Submucosa of the stomach and duodenum 

    2. Liver 

    3. Small bowel mesentery 

    4. Splenic hilum 

    Select the correct answer using the code given below :

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