PAEA Surgery End Of Rotation (EOR) Practice Exam

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Under what circumstances is a pancreatic pseudocyst most dangerous?

  1. If it becomes infected

  2. If it ruptures

  3. If it causes fibrosis

  4. If it increases in size

The correct answer is: If it ruptures

A pancreatic pseudocyst is most dangerous when it ruptures. When a pseudocyst ruptures, it can lead to peritoneal spillage of pancreatic secretions, which can cause chemical peritonitis, a serious and potentially life-threatening condition. This release can also result in significant internal bleeding and infection, leading to further complications such as sepsis. While infection of the pseudocyst and increases in size can pose risks, they typically do not carry the immediate life-threatening potential that rupture does. Fibrosis can occur around a pseudocyst but generally does not represent an acute danger and may indicate chronicity rather than immediate risk. Rupture is a sudden event that requires urgent medical intervention, making it the most critical scenario associated with pancreatic pseudocysts.