Laparoscopic Resection of an Epidermoid Cyst Within an Intrapancreatic Accessory Spleen

Harris, Andrew C.; Chaudry, M. Asif; Menzies, Donald; Conn, P.

doi:10.1097/sle.0b013e31825b3761

Cited by 19 publications

(8 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Until now, the treatment of ECIPAS consists of surgical removal, either open [4-28,30-32,36], or laparoscopic [29,33-35], with or without splenic preservation. No death has been reported during operation or in the short-term postoperative period.…”

Section: Discussionmentioning

confidence: 99%

Epidermoid cyst of an intrapancreatic accessory spleen: a case report and literature review

et al. 2014

View full text Add to dashboard Cite

BackgroundAn epidermoid cyst in an intrapancreatic accessory spleen is a rare lesion. Despite advances in radiologic techniques, in most cases it has been diagnosed preoperatively as a possible pancreatic neoplasm.Case presentationHerein, we present a 63-year-old Caucasian woman, diagnosed preoperatively with enhanced-contrast abdominal computed tomography, as having a potential cystic tumor in the tail of the pancreas. The patient underwent a distal pancreatectomy and splenectomy, and the histological examination revealed the presence of an epidermoid cyst of an accessory intrapancreatic spleen.ConclusionsFamiliarity with the imaging features, the clinical presentation and the location of the cyst are important to consider if this rare entity is to be included in the differential diagnosis of cystic neoplasms of the pancreas.

show abstract

Section: Discussionmentioning

confidence: 99%

Epidermoid cyst of an intrapancreatic accessory spleen: a case report and literature review

et al. 2014

View full text Add to dashboard Cite

show abstract

“…The mean age of the patients was 45.4 years (range 12–70 years), and 32 cases (61.5%) were younger than 50 years. Additionally, >50% of the cases were incidentally detected 6 , 7 , 10 , 12 , 13 , 16 , 17 , 19 – 22 , 24 – 26 , 29 – 31 , 33 , 35 , 39 , 41 – 43 while the other symptoms included nausea, vomiting, abdominal pain and discomfort, back pain, epigastric pain and fever. In all cases, the tumors were located on the pancreatic tail.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic spleen-preserving pancreatic resection for epidermoid cyst in an intrapancreatic accessory spleen: case report and literature review

Zhou

Zhang

Zhan

et al. 2018

TCRM

View full text Add to dashboard Cite

IntroductionAn epidermoid cyst in an intrapancreatic accessory spleen (ECIPAS) is a rare non-neoplastic cyst, typically occurring in the pancreatic tail. It is difficult to preoperatively differentiate ECIPAS from other types of pancreatic neoplastic cysts.Case presentationWe herein report a case of a 32-year-old man with a cystic tumor in the tail of the pancreas. The patient underwent a laparoscopic spleen-preserving distal pancreatectomy, and histological examination revealed the presence of ECIPAS. In addition, we also performed a literature review of 42 case reports of ECIPAS.ConclusionAlthough the preoperative diagnosis of ECIPAS is relatively difficult, familiarity with the imaging features, the clinical presentation and the location of the cyst could lead to a correct preoperative diagnosis of ECIPAS, which might thereby reduce the number of unnecessary resections.

show abstract

“…Lap-DP has recently been accepted for benign or low-grade malignant tumors located in the distal pancreas. There are only 12 reported cases including our own of ECIAS treated by laparoscopic surgery in the English literature (Table 1 ) [ 4 , 5 , 6 , 7 , 8 , 9 , 10 , 11 , 12 , 13 ]. In these cases, the median age of the patients was 50 years (range, 21–67 years) and included 3 males and 9 females.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic Resection of an Epithelial Cyst in an Intrapancreatic Accessory Spleen

Suzumura¹,

Hatano²,

Okada³

et al. 2017

Case Rep Gastroenterol

View full text Add to dashboard Cite

An epithelial cyst in an intrapancreatic accessory spleen (ECIAS) is rare. We herein report a case of a patient with ECIAS who underwent laparoscopic surgery. A 57-year-old woman was referred to our hospital because of a pancreatic tail tumor. She was asymptomatic, and a physical examination revealed no remarkable abnormalities. The levels of the tumor marker carbohydrate antigen 19-9 (CA19-9) and s-pancreas-1 antigen (SPan-1) were elevated. Ultrasonography showed a well-defined homogeneous cystic tumor. Computed tomography showed a well-demarcated cystic tumor in the pancreatic tail. Magnetic resonance imaging showed that the cystic tumor exhibited low intensity on T1-weighted images and high intensity on T2-weighted images. The cystic tumor was diagnosed as mucinous cystic neoplasm preoperatively. The patient underwent laparoscopic spleen-preserving distal pancreatectomy. A histopathological examination revealed the cyst wall to be lined by stratified squamous epithelium within splenic parenchyma, and the ultimate diagnosis was ECIAS. The postoperative course was uneventful, and the patient was discharged on postoperative day 12. ECIAS is very difficult to diagnose preoperatively. Laparoscopic surgery is a safe and minimally invasive procedure for patients with difficult-to-diagnose pancreatic tail tumor suspected of having low-grade malignancy.

show abstract

Laparoscopic Resection of an Epidermoid Cyst Within an Intrapancreatic Accessory Spleen

Cited by 19 publications

References 27 publications

Epidermoid cyst of an intrapancreatic accessory spleen: a case report and literature review

Epidermoid cyst of an intrapancreatic accessory spleen: a case report and literature review

Laparoscopic spleen-preserving pancreatic resection for epidermoid cyst in an intrapancreatic accessory spleen: case report and literature review

Laparoscopic Resection of an Epithelial Cyst in an Intrapancreatic Accessory Spleen

Contact Info

Product

Resources

About