Нагноение псевдокист в селезенке отмечено в 84,8% наблюдений. <...> Чрескожное дренирование как единственное лечебное пособие выполнено 10 (30,3%) пациентам, дистальная резекция со спленэктомией на фоне калькулезного панкреатита с поражением хвоста поджелудочной железы – 23 (69,7%) больным. <...> Выполняли чрескожное дренирование под контролем УЗИ, эвакуацию и фракционную или проточную санацию, что стало окончательным видом лечения. <...> В полученном содержимом псевдокист во всех наблюдениях выявлена высокая активность амилазы. <...> Клю че вые сло ва: острый панкреатит, панкреонекроз, псевдокиста, селезенка, печень, миниинвазивные технологии. <...> Pseudocysts of the spleen and liver are extremely rare lesions, at the same time they can be quite dangerous. <...> Intrasplenic localization can lead to massive hemorrhage and spleen rupture, whereas purulent hepatic pseudocystscan result in sepsis. <...> To analyze the existing experience on diagnosis and management of pancreatogenic pseudocysts of the spleen and liver. <...> 37 patients with pancreatogenic pseudocysts of internal organs were observed from 1985 to 2013. <...> Splenic pseudocysts were found in 33 (89.2%) patients, hepatic pseudocysts in 4 (10.8%) patients. <...> Purulent pseudocysts of the spleen was observed in 84.8% of cases. <...> Percutaneous drainage as the sole therapeutic method was used in 10 (30.3%) patients; distal pancreatic resection with splenectomy was performed in 23 (69.7%) patients with coexisting chronic calculous pancreatitis affecting the pancreatic tail. <...> In these cases the treatment consisted of ultrasound-guided percutaneous drainage followed by pseudocyst evacuation and fractional irrigation or continuous flow-through lavage. <...> In all cases there were high levels of amylase in pseudocyst fluid. <...> Bacteria growth tests for pseudocyst fluid were not always positive. <...> 39 Панкреатогенные псевдокисты печени и селезенки: патогенез, диагностика и тактика лечения Diagnosis and Management of P of the <...>