Faculty Information |
|
Article types | Case report |
Language | English |
Refereed paper | Not refereed |
Title | Laparoscopic Resection of an Epithelial Cyst in an Intrapancreatic Accessory Spleen |
Journal | Formal name:Case reports in gastroenterology Abbreviation:Case Rep Gastroenterol ISSN code:1662-0631(Print)1662-0631(Linking) |
Domestic / Foregin | Foregin |
Volume, Number, Page | 11(3),pp.803-11 |
Papers・Author | Suzumura Kazuhiro, Hatano Etsuro, Okada Toshihiro, Asano Yasukane, Uyama Naoki, Nakamura Ikuo, Hai Seikan, Ichikawa Nobutaka, Nakasho Keiji, Fujimoto Jiro |
Publication date | 2017/12 |
Papers・Description | 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. |
DOI | 10.1159/000484134 |
PMID | 29606939 |