A Case of Serous Cystadenoma of Pancreas with Intracystic Hemorrhage

Sanada, Jun; Ogihara, Shouji; Takei, Kohtaro; Mizumura, Yasuo; Mizuguchi, Yasuhiro; Takeda, Kazuya; Miwa, Kazuhiko; Magami, Yasushi; Horibe, Toshiya; Kakutani, Hiroshi; Niido, Teitetsu; Saitoh, Toshihiko

doi:10.11641/pdensks.49.0_238

Cited by 2 publications

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“…The main pancreatic duct showed evidence of compression in 13 patients (35.1%), compression and stenosis in eight patients (21.6%), stenosis in four patients (10.8%), occlusion in four patients (10.8%), and no abnormalities in eight patients (21.6%). The common bile duct showed compression in two patients 17,38 and compression and stenosis in three patients (including our patient) ( Table 2). 27,37…”

Section: Discussionmentioning

confidence: 62%

“…3 We found a total of 77 cases, including our case described here, in the literature from 1990 through to 1997. 4–44 The age of the patients ranged from 10 to 85 years (mean, 60.3 years). There were 27 males and 50 females; the male : female ratio was 1 : 1.85, indicating a preponderance of females.…”

Section: Discussionmentioning

confidence: 99%

“…The compression, stenosis, and filling defects of the main pancreatic duct and intrapancreatic portion of the bile duct on ERCP were ascribed to cysts arising in the pancreas. In patients with serous cystadenoma, however, compression and stenosis of the bile duct 26,32,38 and compression of the bile duct (2 patients) were very rare. 20,41 Three cases reported in Japan, including ours, were discovered on the basis of obstructive jaundice.…”

Section: Discussionmentioning

confidence: 99%

“…13 On angiography, encasement was reported in three patients, including ours. 26,38 Serous type lesions generally appear as hypervascular tumors and are characterized by vascular hyperplasia and tumor staining on capillary phase. Mucinous type cystadenomas are usually hypovascular and some are encased by arteries and veins.…”

Section: Discussionmentioning

confidence: 99%

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A case of pancreatic serous cystadenoma with obstructive jaundice

Maekawa¹,

Yabuki²,

Satoh³

et al. 2000

Digestive Endoscopy

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dence of an abdominal mass or ascites. Hematologic examinations revealed mild anemia. On blood chemical analysis, the alkaline phosphatase was 401 IU/L, g-glutamyl transferase (GTP) was 101 IU/L, amylase was 133 IU/L, blood urea nitrogen (BUN) was 40.5 mg/dL, and creatinine was 2.6 mg/dL. However, the total bilirubin was normal (0.6 mg/dL). As for tumor markers, the concentration of elastase I was mildly elevated (Table 1). Percutaneous transluminal gall-bladder drainage findingsA drainage tube was placed in the gall-bladder, and PTGBD revealed two radiolucent areas measuring 20 ¥ 20 mm each in the gall-bladder. The common bile duct was dilated (diameter, 15 mm), and compression and stenosis were present at the left side of the inferior portion of the common bile duct (Fig. 1). Endoscopic retrograde cholangiopancreatography findingsThe main pancreatic duct at the head of the pancreas showed irregular stenosis, extending to approximately 30 mm. The portion of the main pancreatic duct adjacent to the tail of the pancreas was sightly dilated. In addition, irregular compression and stenosis extended for approximately 26 mm at the left side of the common bile duct (Fig. 2). Brushing cytologic diagnosis of the pancreatic duct indicated a class II lesion. Abdominal angiography and cholangiographyImages obtained simultaneously by angiography and cholangiography revealed poor visualization of the intra-A 62-year-old man with precordial pain and fever consulted a local practitioner. Blood tests revealed jaundice. Acute cholecystitis was diagnosed on ultrasonographic examination, and percutaneous transluminal gall-bladder drainage was performed. The patient was referred to the Department of Surgery for operation. Imaging studies performed via a drain disclosed compression and stenosis of the lower portion of the common bile duct. A computed tomographic scan showed a multilocular nodule-like low-density area measuring 2.0 ¥ 2.0 cm in diameter at the head of the pancreas. Endoscopic retrograde cholangiopancreatography disclosed compression and stenosis of the main pancreatic duct at the head of the pancreas. Angiographic examination revealed encasement of the intrapancreatic branch of the posterior pancreatic arcade, located in the same area as the compression stenosis of the bile duct. The results of imaging studies suggested cancer of the head of the pancreas, and a pancreatoduodenectomy was performed. The resected specimen included a mass measuring 3.5 ¥ 2.7 ¥ 1.7 cm, which was located at the head of the pancreas. On examination of a cut section, the mass was found to consist of small multilocular cysts. The cysts invaded the intrapancreatic bile duct. The histopathological diagnosis was serous cystadenoma.

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Section: Discussionmentioning

confidence: 62%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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