Laparoscopic resection of an epidermoid cyst originating from an intrapancreatic accessory spleen: Report of a case

Itano, Osamu; Chiba, Naokazu; Wada, Toshimi; Yuasa, Yuji; Sato, Teiko; Ishikawa, Hideki; Koyama, Yasumasa; Matsui, Hideo; Kitagawa, Yuko

doi:10.1007/s00595-009-4006-9

Cited by 32 publications

(22 citation statements)

References 21 publications

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“…14 Laparoscopic surgery is one of the most benefi cial procedures for investigating the abdominal cavity, and also allows for resection of a pancreatic tumor requiring less-invasive surgery, allowing for better management of pain. 15,16 Although in the case reported by Marchevsky et al 3 abdominal pain subsided postoperatively, in the current case the pain was not controlled by surgery. Postoperative day 1 was 7 days before the onset of the next menses, which was the day the symptoms usually had begun before surgery.…”

Section: Discussioncontrasting

confidence: 48%

Pancreatic endometrial cyst: Report of a case

et al. 2011

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A pancreatic endometrial cyst is an extremely rare disease. Since 1984, only 7 cases have been reported, including the current case. A 35-year-old woman with a history of recurrent severe left upper abdominal pain of 3 months' duration was found to have a cyst in the pancreatic body on the diagnostic imaging findings. With a preoperative diagnosis of mucous cystic adenoma, she underwent a distal pancreatectomy. The histopathological examination of the specimen revealed a pancreatic endometrial cyst. She complained about severe periodic abdominal pain during the convalescence, without any surgical complications. This study reviews previous reports of pancreatic endometrial cysts, and also discusses the clinicopathological features, pathogenesis, and appropriate treatment for this disease.

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Section: Discussioncontrasting

confidence: 48%

Pancreatic endometrial cyst: Report of a case

et al. 2011

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“…same author): one (15) showing a correlation of enhancement, and the other (18) showing similar imaging findings to the former case. From our literature review, we offer the following reasons.…”

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confidence: 61%

“…To date, 20 case reports of ECIAS have been published in English (1)(2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18). The first case, reported by Davidson et al (1) in 1980 and other subsequent case reports, described the difficulty in discerning these lesions preoperatively from potentially malignant cystic neoplasms of the pancreas such as mucinous cystic neoplasm (MCN), intraductal papillary mucinous neoplasm, serous cystic neoplasm, or solid pseudopapillary neoplasm.…”

Section: Introductionmentioning

confidence: 99%

Epithelial Cyst Arising in an Intrapancreatic Accessory Spleen: A Diagnostic Dilemma

et al. 2011

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An epithelial cyst in an intrapancreatic accessory spleen (ECIAS) is a rare disease that is commonly misdiagnosed preoperatively. To identify the clinical and imaging features of ECIAS, we reviewed the relevant medical literature. Twenty-one cases of ECIAS were identified, including our own. The cases were mainly diagnosed as mucinous cystic neoplasm (MCN) preoperatively based on clinical and imaging features, such as, a woman in middle age; elevation of serum CA19-9 levels; location in the tail of the pancreas; and a solid component resembling a mural nodule. ECIAS is another lesion to be considered in the differential diagnosis of MCN.

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“…Since 1980, a correct preoperative diagnosis of ECIPAS has been reported in only five cases [15, 21, 26, 32]. These accurate diagnoses were partly based on the smoothness of the cystic inner wall and solid component, a differentiating morphological feature suggestive of a benign tumor [26].…”

Section: Discussionmentioning

confidence: 99%

Rare Case of an Epithelial Cyst in an Intrapancreatic Accessory Spleen Treated by Robot-Assisted Spleen Preserving Distal Pancreatectomy

Dijck

Groot

Brosens

et al. 2016

Case Reports in Gastrointestinal Medicine

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Epithelial cyst in an intrapancreatic accessory spleen (ECIPAS) is exceedingly rare with only 57 cases reported since the first publication in 1980. Comprehensive clinical and diagnostic features remain to be clarified. We present a case of ECIPAS in a 21-year-old Philippine woman who was admitted with right upper quadrant abdominal pain. A cystic lesion in the pancreatic tail was discovered and evaluated by computed tomography and magnetic resonance images. Based on clinical and radiological features a solid pseudopapillary neoplasm was suspected. The patient underwent robot-assisted spleen preserving distal pancreatectomy. Pathological evaluation revealed a 26 mm intrapancreatic accessory spleen with a 16 mm cyst, lined by multilayered epithelium in the tail of the pancreas. The postoperative course was uneventful. Differentiating ECIPAS from (pre)malignant cystic pancreatic neoplasms based on clinical and radiological features remains difficult. When typical radiological signs can be combined with scintigraphy using Technetium-99m labelled colloid or Technetium-99m labelled erythrocytes, which can identify the solid component of the lesion as splenic tissue, it should be possible to make the right diagnosis noninvasively. When pancreatectomy is inevitable due to symptoms or patient preference, minimally invasive laparoscopic or robot-assisted spleen preserving distal pancreatectomy should be considered.

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Laparoscopic resection of an epidermoid cyst originating from an intrapancreatic accessory spleen: Report of a case

Cited by 32 publications

References 21 publications

Pancreatic endometrial cyst: Report of a case

Pancreatic endometrial cyst: Report of a case

Epithelial Cyst Arising in an Intrapancreatic Accessory Spleen: A Diagnostic Dilemma

Rare Case of an Epithelial Cyst in an Intrapancreatic Accessory Spleen Treated by Robot-Assisted Spleen Preserving Distal Pancreatectomy

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