Anterior mediastinal ectopic pancreatic cyst incidentally identified by pericarditis: a case report

Iijima, Yoshihito; Iwai, Shun; Yamagata, Akira; Motono, Nozomu; Usuda, Katsuo; Kumagai, Motona; Takeuchi, Shinichi; Yamaghishi, Shigeki; Koizumi, Kiyoshi; Uramoto, Hidetaka

doi:10.1007/s11748-020-01537-6

Cited by 3 publications

(1 citation statement)

References 11 publications

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“…A definitive diagnosis of HP with retention cyst should be accurately rendered considering the following characteristic criteria: HP presents with a CT density similar to that of the normal pancreas (22); HP is physiologically located in the gastric antrum, which is a favorable site for HP development (8,22); the retention cyst wall shows thickness (29); and the cyst category can be confirmed by performing a safe puncture and analyzing the pancreatic enzymes from the fluid content (20,23,24). However, a preoperative diagnosis is usually difficult because the HP parenchyma must present with a relevant volume to enable the HP diagnosis by imaging.…”

Section: Discussionmentioning

confidence: 99%

Duodenal Heterotopic Pancreas with a Large Retention Cyst: A Case Report and Literature Review

2023

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A 75-year-old man was referred to our hospital with a suspected pancreatic cyst. Imaging tests revealed a 3-cm cystic lesion located ventrally in the duodenal bulbus, which was suspected to be a duplication cyst with its muscularis propria contiguous to that of the duodenum. One year later, the cyst grew to 6 cm due to intracystic hemorrhaging; therefore, surgery was performed. Histopathology revealed a heterotopic pancreas (HP) in the duodenal wall. The diagnosis was a large, non-malignant retention cyst. Inflammation due to impaired outflow of pancreatic juice from the HP was identified as the cause of cyst enlargement.

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Section: Discussionmentioning

confidence: 99%

Duodenal Heterotopic Pancreas with a Large Retention Cyst: A Case Report and Literature Review

2023

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Ectopic pancreas tissue in the posterior mediastinum

Berkarda,

Kuvendjiska,

Bamberg

et al. 2024

J Cardiothorac Surg

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The occurrence of ectopic pancreas in the mediastinum is rare. Herein, we report a 22-year-old female who presented with right shoulder pain, dysphagia, fever and headaches. Chest computer tomography revealed a mass in the posterior mediastinum with accompanying signs of acute mediastinitis. Needle biopsy and fine-needle aspiration revealed ectopic gastral tissue and ectopic pancreas tissue, respectively. Surgical resection was attempted due to recurring acute pancreatitis episodes. However, due to chronic-inflammatory adhesions of the mass to the tracheal wall, en-bloc resection was not possible without major tracheal resection. Since then, recurring pancreatitis episodes have been treated conservatively with antibiotics. We report this case due to its differing clinical and radiological findings in comparison to previous case reports, none of which pertained a case of ectopic pancreas tissue in the posterior mediastinum with recurring acute pancreatitis and mediastinitis.

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Mature teratoma of the anterior mediastinum with a predominance of the pancreatic component and signs of focal nesidioblastosis

Dolzhanskij,

Gurevich,

Bazarov

2022

Arkh. patol.

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Anterior mediastinal ectopic pancreatic cyst incidentally identified by pericarditis: a case report

Cited by 3 publications

References 11 publications

Duodenal Heterotopic Pancreas with a Large Retention Cyst: A Case Report and Literature Review

Duodenal Heterotopic Pancreas with a Large Retention Cyst: A Case Report and Literature Review

Ectopic pancreas tissue in the posterior mediastinum

Mature teratoma of the anterior mediastinum with a predominance of the pancreatic component and signs of focal nesidioblastosis

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