A new case of solitary true pancreatic cyst

Zentar, Aziz; Elkaoui, Hakim; Fahssi, Ahmed El; Sall, Ibrahima; Bouchentouf, Sidi Mohammed; Sair, Khalid

doi:10.1016/j.ajg.2011.03.003

Cited by 3 publications

(6 citation statements)

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“…Congenital pancreatic cysts are a rare condition and infrequently reported in both the veterinary and human literature. A relatively recent article within the human literature identified only 25 reported cases of congenital pancreatic cysts [ 6 ] and as few as 4 case reports of true pancreatic cysts were identified within the veterinary literature; all in cats [ 8 – 11 ]. To the authors knowledge, at the time of writing, this is the first description of a congenital pancreatic cyst in dogs.…”

Section: Discussionmentioning

confidence: 99%

“…Congenital cysts are typically asymptomatic and are often found incidentally. However, in cases where the cyst is particularly large, or when it applies pressure to the surrounding viscera, it may cause abdominal distension, vomiting, jaundice or pancreatitis [ 6 ]. This was also evident in the case presented here which developed secondary clinical signs as a result of pressure on adjacent viscera and no biochemical abnormalities were identified.…”

Section: Discussionmentioning

confidence: 99%

“…On the day of surgical exploration, the dog was premedicated with medetomidine hydrochloride 1μg/ kg (0.0004 mg/lb) (sedastart 1 mg/ml) and methadone 0.2 mg/kg (0.09 mg/lb) (synthadon 10 mg/ml). 5 She was co-induced using a combination of ketamine 1 mg/ kg (0.45 mg/lb) (ketamidor 100 mg /ml) 6 and propofol 1 mg /kg (0.45 mg/lb) (propofol-lipuro 10 mg/ml). An appropriate plane of anaesthesia was maintained using sevoflourane in oxygen.…”

Section: Case Presentationmentioning

confidence: 99%

“…However, by definition a cyst is a closed sac having a distinct membrane and developing abnormally in a body cavity or structure (Merriam-Webster 2021. ); true pancreatic cysts are extremely rare and thought to be congenital in origin [ 6 ]; the case presented herein describes the diagnosis, treatment and outcome of a true pancreatic cyst thought to be congenital in nature. To date there have been no previous documentation of congenital pancreatic cysts in canines.…”

Section: Introductionmentioning

confidence: 99%

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A true congenital pancreatic cyst in a dog

Healy¹,

Cassidy

Martin³

2022

BMC Vet Res

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Background True congenital pancreatic cysts are a rare pathological process reported within feline and human literature. To date there has been no documented case of a true congenital cyst affecting a canine patient. The objective of this case report is to document the clinical findings, diagnostic investigations, surgical treatment, histopathological diagnosis and long-term outcome of a dog with a true pancreatic cyst. Case presentation A 5-month-old crossbreed dog was presented with a six-week history of abdominal pain, apparent bilateral pelvic limb weakness, reluctance to walk and intermittent vomiting and diarrhoea. An abdominal ultrasound examination performed by the dog’s primary care veterinarian identified a large intra-abdominal structure of unclear origin. A computed tomographic examination identified a large ovoid structure measuring 156 mm in length, 95 mm in height and 89 mm in width and apparently originating from the left limb of the pancreas. An exploratory coeliotomy was performed and a partial pancreatectomy was performed to allow complete removal of the cystic structure. Histopathological analysis of sections of the wall of the large fluid-filled cyst identified a thick fibromuscular wall lined by a well regimented hyperplastic tall columnar epithelium with basally located round to ovoid nuclei featuring fine chromatin stippling and abundant apically located and surface mucin, concurrent with a true congenital pancreatic cyst. A long-term follow-up of twenty-nine months identified no clinical signs of recurrence. Conclusion A partial pancreatectomy and en bloc excision of a true pancreatic cyst provided an excellent long-term outcome in a dog.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Case Presentationmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

A true congenital pancreatic cyst in a dog

Healy¹,

Cassidy

Martin³

2022

BMC Vet Res

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“…In these cases, the risk of malignancy is high and surgery is considered mandatory. 15 Other factors that advocate for surgery are asymptomatic large lesions, a location in the tail of pancreas, and age (young patients 17–35 years). 21 Surgery includes cyst enucleation, cystoduodenostomy, cystogastrostomy, cystojejunostomy, and various types of pancreatectomies.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic Spleen-Preserving Distal Pancreatectomy in a Solitary True Pancreatic Cyst

Michalopoulos

Laskou

Karayannopoulou

et al. 2014

JSLS

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Background:Solitary true pancreatic cysts (STPCs), or epithelial cysts, are benign lesions that are extremely rare in adult patients. Advances in radiographic techniques have improved the ability to identify pancreatic cystic lesions. We report a case of a large and symptomatic STPC in a 47-year-old female patient who was treated successfully with spleen-preserving laparoscopic distal pancreatectomy. We also review the clinical and pathologic features of all reported STPCs within the past 25 years.Database:To compose the review, we did a search of the international literature for STPCs that had occurred in adults. Fourteen related articles were found describing cases of STPCs. Clinical and pathologic information was collected for all of the reported pancreatic cysts, and a database was formed. STPCs are detected more frequently in women than in men. The mean age of occurrence is 43.2 years, and the mean cyst size is 5.6 cm. Fifty percent of true cysts are located in the head of the pancreas. Size and site are responsible for the symptoms caused, although 22.8% were asymptomatic. Diagnosis was made postoperatively in all cases by histopathologic studies. No case of malignancy was reported in any STPC.Conclusions:STPCs are rare and benign lesions commonly discovered incidentally during abdominal imaging. Surgical treatment is considered the appropriate therapy for large and symptomatic STPCs. The definitive diagnosis is established by histopathologic and immunohistochemical studies.

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