| Summary points: | A 65-year-old-man with a history of alcohol abuse is admitted for abdominal pain and subsequently diagnosed as having chronic pancreatitis with pancreatolithiasis and pseudocyst in the pancreatic tail. The pancreatic pseudocyst increased in size gradually over a 4-month observation period. Intracystic haemorrhage occurred and an urgent distal pancreatectomy was performed. Postoperative course is described. The authors caution that prolonged observation can result in intracystic haemorrhage and recommend adequate timing of drainage or surgery in the management of pancreatic pseudocysts to prevent complications. |