Premium
Laparoscopy‐assisted spleen‐preserving pancreatic resection for epidermoid cyst in an intrapancreatic accessory spleen
Author(s) -
Urakami A,
Yoshida K,
Hirabayashi Y,
Kubota H,
Yamashita K,
Hirai T,
Tsunoda T
Publication year - 2011
Publication title -
asian journal of endoscopic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.372
H-Index - 18
eISSN - 1758-5910
pISSN - 1758-5902
DOI - 10.1111/j.1758-5910.2011.00102.x
Subject(s) - epidermoid cyst , medicine , accessory spleen , pancreas , cyst , spleen , parenchyma , laparoscopy , lesion , pathology , radiology , splenectomy
A rare case of an epidermoid cyst originating in an intrapancreatic accessory spleen in a 50‐year‐old Japanese female is reported. A hypoechoic cystic tumor was detected incidentally by abdominal ultrasonography. It appeared to be a single cyst in the pancreatic tail with a contrasted mass lesion beside it. Laparoscopy‐assisted spleen‐preserving pancreatic tail resection was performed. Microscopic examination revealed that the cyst was surrounded by fibrous tissue and a thin layer of splenic tissue, adjacent to normal pancreatic parenchyma. The inner surface of the cyst was lined with non‐keratinizing squamous epithelium. The diagnosis of an epidermoid cyst occurring in an intrapancreatic accessory spleen was confirmed. Laparoscopy‐assisted spleen‐preserving pancreatic resection is a safe and effective procedure for benign or low‐grade malignant cystic diseases in the pancreas.