Pancreatic pseudocysts are complications of acute or chronic pancreatitis. preliminary diagnosis is carried out most often with the aid of pass-sectional imaging. Endoscopic ultrasound with excellent needle aspiration has turn out to be the favored check to assist distinguish pseudocyst from other cystic lesions of the pancreas. most pseudocysts resolve spontaneously with supportive care. the dimensions of the pseudocyst and the length of time the cyst has been gift are poor predictors for the capability of pseudocyst resolution or headaches, but in fashionable, larger cysts are more likely to be symptomatic or motive complications. the primary  indicators for a few sort of invasive drainage method are continual affected person symptoms or the presence of complications (contamination, gastric outlet or biliary obstruction, bleeding). three extraordinary strategies for pancreatic pseudocysts drainage are to be had: endoscopic (transpapillary or transmural) drainage, percutaneous catheter drainage, or open surgical treatment. to date, no potential managed studies have as compared at once those procedures. As a result, the management varies primarily based on local expertise, but in fashionable, endoscopic drainage is becoming the desired approach due to the fact it's far much less invasive than surgical operation, avoids the need for external drain, and has a excessive lengthy-time period success rate. A tailored healing technique taking into account patient alternatives and concerning multidisciplinary crew of healing endoscopist, interventional radiologist and pancreatic general practitioner need to be taken into consideration in all cases.