Background Chronic collection of amylase rich fluid enclosed in a non-epithelialized wall of collagen or granulation tissue, following after, episode of acute pancreatitis (5-15%), chronic pancreatitis (20 to 40%), trauma. Pancreatic cysts are being diagnosed more frequently because of the increasing usage of imaging techniques. Asymptomatic pseudocysts up to 4cms in diameter can be safely observed and monitored without intervention, but larger and symptomatic pseudocysts require intervention.