Erschienen in:
29.01.2018 | GI Image
Acinar Cell Cystadenoma of the Pancreas: a Multidisciplinary and Contemporary Approach
verfasst von:
Sabrina C. Sopha, J. H. Terhune, L. Hoover, L. Uradomo, C. N. Boutros
Erschienen in:
Journal of Gastrointestinal Surgery
|
Ausgabe 10/2018
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Excerpt
A 27-year-old Mauritanian woman presented to our institution with intractable left upper quadrant abdominal pain, early satiety, vomiting, and constipation due to an enlarging pancreatic cyst, having carried a diagnosis of pancreatic cyst since 2001. The patient was previously evaluated in Tunisia and Paris with a conservative plan; however, due to increasing symptoms and new weight loss, she desired surgical resection. There was no family history of pancreatic cysts or solid masses. MRI and endoscopic ultrasound revealed a 7.5 cm multiloculated cyst in the distal pancreatic tail without mural nodules (A). The main pancreatic duct within the head and body was normal. Upper endoscopic ultrasound fine needle aspiration of cyst fluid showed nonspecific benign findings. Given the patient’s gender, age, and cyst location, the working diagnosis was pancreatic mucinous cystic neoplasm. The patient underwent uneventful laparoscopic spleen-preserving subtotal pancreatectomy. Our technique was previously published.
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