Pancreatic mucinous cystadenoma doubly complicated by acute pancreatitis and retroperitoneal rupture

Haddad, Anis; Sebai, Amine; Rhaiem, Rami; Ghedira, Abdessalem; Makni, A.

doi:10.1016/j.jviscsurg.2018.08.011

Cited by 6 publications

(8 citation statements)

References 6 publications

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“… 2 The tumor commonly affects the body and tail of the pancreas. 3 De novo mucinous cystadenocarcinoma and malignant transformation of cystadenoma have been described. 2 Given their insidious growth and predisposition for affecting the body and tail of the pancreas, patients are often asymptomatic or minimally affected.…”

Section: Discussionmentioning

confidence: 99%

Ruptured Mucinous Cystadenoma Pancreas: A Case Report and Review of Literature

Krishnamurthy¹,

Ganesan²,

Ramas³

et al. 2021

Euroasian Journal of Hepato-Gastroenterology

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Section: Discussionmentioning

confidence: 99%

Ruptured Mucinous Cystadenoma Pancreas: A Case Report and Review of Literature

Krishnamurthy¹,

Ganesan²,

Ramas³

et al. 2021

Euroasian Journal of Hepato-Gastroenterology

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“…Ruptured MCN is extremely rare because of its thick fibrous capsule [2]. When we searched English articles in PubMed, seven cases of ruptured MCN including our case have been reported (Table 1) [3][4][5][6][7][8]. In these reported cases of ruptured MCN, the average patient age was 38 and all patients were women.…”

Section: Discussionmentioning

confidence: 99%

A case of ruptured mucinous cystadenoma of the pancreas with recurrence-free survival for 8 years

et al. 2020

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Background: Pancreatic mucinous cystic neoplasm (MCM) presenting with rupture is extremely rare, and very few studies have followed up patients over the long term after ruptured mucinous cystadenoma (MCA). We report a case of ruptured MCA of the pancreas with recurrence-free survival for 8 years. Case presentation: A 28-year-old Japanese woman was admitted to the emergency department of a local hospital after experiencing acute abdominal pain. Abdominal computed tomography revealed massive ascites and the presence of a cystic tumor measuring 60 mm in diameter in the pancreatic tail. Conservative therapy with antibiotics and abdominal drainage were performed to treat peritonitis that occurred secondary to the ruptured pancreatic cystic tumor, after which the patient's symptoms improved. The patient was referred to our department for further examination and treatment. We diagnosed a ruptured MCN and performed laparoscopic spleen-preserving distal pancreatectomy. Histopathological findings revealed ovarian-type stroma, which tested positive for estrogen and progesterone receptors by immunohistochemistry. The histopathological diagnosis was MCA. The postoperative course was uneventful, and the patient remains alive without any evidence of recurrence at 8 years postoperatively. Conclusion: A good prognosis is possible even in cases of ruptured MCA. Because of the risk of peritoneal dissemination after ruptured MCA, long-term follow-up is important.

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“…Одним із рідкісних доброякісних новоутворень підшлункової залози є цистаденома, яка формується з тканин протокового епітелію [1,2].…”

Section: вступunclassified

“…Дана пухлина локалізується переважно у тілі та хвості підшлункової залози, характеризується кістозною будовою, має овальну або округлу форми з щільною оболонкою. Хворіють переважно жінки, віком від 25 до 75 років [2,5].…”

Section: вступunclassified

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The Case Treatment of Cystadenoma of the Pancreas

Gnatyuk¹,

Шевченко²,

Kryvoruchko³

et al. 2020

Khark. Surg. Sch.

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Summary. Introduction. Cystadenoma of the pancreas is a benign tumor in the form of a cyst of epithelial origin, which in the absence of adequate treatment disrupts the function of the pancreas, due to compression on nearby tissues, and in 3 % of cases regenerates into cystadenocarcinoma. Aim. Present a clinical case of surgical treatment of cystadenoma of the body of the pancreas, while preserving the caudal part of the latter to prevent the possible development of diabetes. Material and methods. Patient M., 72 years old, who was hospitalized in the infectious department of the central district hospital, during ultrasound of the abdominal cavity and peritoneal space revealed a neoplasm of the retroperitoneal space in the body and tail of the pancreas, in connection with which she was transferred to the surgery department. After the appropriate examination, the patient underwent surgery — laparotomy. Removal of a neoplasm of the body of the pancreas. Distal pancreatojejunoanastomosis, entero-enteroanastomosis. Abdominal drainage. Results. The postoperative period was without complications, drainage was removed, sutures were removed for 9-10 days, the wound healed with primary tension. In the section of the drug, there is a capsule with a wall thickness of up to 2.0 mm, which contains mucopurulent masses in the form of flakes. The outer wall of the capsule is covered with joints and vessels, and the inner has a shiny matte surface. The histopathological examination indicates cystadenoma of the pancreas. The choice to form a distal pancreatojejunostomy in contrast to the distal resection of the pancreas was due to the patient’s age and high probability of developing diabetes because it is in the caudal part of the pancreas is the lion’s number of islets of Langerhans. Conclusion. When performing radical surgical interventions on the pancreas in elderly and senile patients, it is necessary to preserve the tissues of the latter, especially the tail, to prevent the development of diabetes.

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Pancreatic mucinous cystadenoma doubly complicated by acute pancreatitis and retroperitoneal rupture

Cited by 6 publications

References 6 publications

Ruptured Mucinous Cystadenoma Pancreas: A Case Report and Review of Literature

Ruptured Mucinous Cystadenoma Pancreas: A Case Report and Review of Literature

A case of ruptured mucinous cystadenoma of the pancreas with recurrence-free survival for 8 years

The Case Treatment of Cystadenoma of the Pancreas

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