A 60-year-old woman with a long history of chronic pancreatitis is referred for surgical evaluation. She has daily debilitating abdominal pain. A computed tomography scan of the abdomen and pelvis demonstrates an inflammatory pancreatic head mass with a dilated pancreatic duct. Endoscopic ultrasound with biopsy of the pancreatic head shows rare atypical cells but no definitive malignant cells. What operative approach is indicated?
A. Beger
B. Frey
C. Distal pancreatectomy
D. Longitudinal pancreatojejunostomy
E. Pancreatoduodenectomy
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A 36-year-old woman presents complaining of pelvic pain. A computed tomography scan of the abdomen and pelvis demonstrates a 5-cm pseudocyst in the body of the pancreas and a right ovarian hemorrhagic cyst. The woman had an episode of acute pancreatitis 5 weeks ago. She denies upper abdominal or back pain and has been eating normally without nausea or vomiting. What is the treatment for the pseudocyst?
A. Operative cystogastrostomy
B. Endoscopic drainage
C. Percutaneous drainage
D. Observation
E. Distal pancreatectomy and splenectomy
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