Solitary Congenital (Dysontogenetic) Cyst of the Pancreas

K, Nygaard

doi:10.1001/archsurg.1942.01220020026003

Cited by 14 publications

(5 citation statements)

References 2 publications

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“…[1][2][3][4][5][6][7][8] The mean age of the patients at the time of diagnosis was 45 years old and 75% were women. Nine of the 11 patients presented with signs or symptoms related to the presence of the cyst.…”

Section: Discussionmentioning

confidence: 99%

“…9,22 A connection between true solitary cysts and the pancreatic ductal system has never been described. [1][2][3][4][5][6][7][8] Cytological analysis can provide much useful preoperative information to help in the diagnosis of cystic neoformations, based on levels of pancreatic enzymes, and tumoral markers (CEA, CA 19-9) in cystic fluid obtained by fine-needle cytology. [23][24][25][26][27] Only the case reported by Nigaard and Stacy 2 described an elevated concentration of pancreatic enzymes in cystic liquid.…”

Section: Discussionmentioning

confidence: 99%

“…These cysts are typically unilocular and lined by cuboidal epithelium, but because only 11 cases have been reported in the English literature, their characteristics are not well known and treatment is empiric. [1][2][3][4][5][6][7][8] We report another case of a true pancreatic cyst loop pancreaticojejunostomy. The pancreatic transanastomotic stent was removed on postoperative day (POD) 16.…”

Section: Introductionmentioning

confidence: 99%

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True Solitary Pancreatic Cyst in an Adult: Report of a Case

et al. 2005

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The differential diagnosis of cystic neoformations in the pancreas is challenging. We report a case of a true solitary cyst of the pancreas in a 26-year old woman. Abdominal magnetic resonance imaging and computed tomography showed a unilocular neoformation in the head of the pancreas, without obstruction of Wirsung's duct. We excised the cyst and performed Roux-en-Y loop pancreaticojejunostomy, but the patient suffered recurrent acute pancreatitis from Wirsung's duct stenosis. Thus, a new Roux-en-Y loop pancreaticojejunostomy was successfully done 6 months later. Histologically, the cyst was lined by cuboidal epithelium, immunohistochemically positive to anti-carbohydrate antigen 19-9 antibodies. To our knowledge, only 11 cases of solitary true cyst of the pancreas in adults have been reported, so the characteristics of this unusual entity are not well known. We propose a scheme for the differential diagnosis of cystic neoformations of the pancreas, starting from the histopathological definition of a true solitary cyst.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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True Solitary Pancreatic Cyst in an Adult: Report of a Case

et al. 2005

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“…Caironi et al [12] reported a 40-year-old male with epigas tric discomfort who underwent excision of a large soli tary cyst that was partially lined with cylindrical epithe lium. Nygaard and Stacey [13] reported an 8-cm unilocu lar cyst in a 35-year-old female; the cyst was enucleated, and cuboidal-epithelial lined. Examination of the cyst fluid revealed elevated levels of pancreatic enzymes.…”

Section: Discussionmentioning

confidence: 99%

Congenital Pancreatic Cysts in Adults without Other Syndromes

Takiff

Tompkins

1989

Dig Surg

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Non-neoplastic congenital true cysts of the pancreas in adults are rare. We present our experience with 6 cases: 3 clinical and 3 autopsy cases. The clinical cases were collected from over 300,000 surgical-pathology specimens, and the autopsy cases from over 11,000 necropsies. The patients presented with pain, duodenal obstruction and a pancreatic mass at laparotomy. One of the clinical cases represents what we believe to be the second reported case of congenital multiple true pancreatic cysts in an adult, and the first to be radiologically documented. Optimal surgical management includes operative pancreatography and resection.

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“…Solitary true cyst of pancreas is an extremely rare condition, especially in adults [1][2][3][4][5][6][7]. These cysts are unilocular and are lined by true epithelium.…”

Section: Introductionmentioning

confidence: 99%