Pancreatic Pseudocyst with Splenic Involvement: A Case Report.
- Author:
Jeong Hwan CHUN
1
;
Han Seong KIM
;
Mee JOO
;
Sun Hee CHANG
;
Ji Eun KWAK
;
Sang Hwa SHIM
;
Chul Nam KIM
;
Soon Joo CHA
Author Information
1. Department of Pathology, College of Medicine, Inje University Ilsan Paik Hospital, Goyang, Korea. hskim@paik.ac.kr
- Publication Type:Case Report
- Keywords:
Pancreatic pseudocyst;
Spleen;
Vasculitis
- MeSH:
Male;
Humans
- From:Korean Journal of Pathology
2008;42(6):405-408
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
There have been a few reported cases of pancreatic pseudocyst with involvement of adjacent structures including the stomach, duodenum, and even the mediastinum. An intrasplenic pancreatic pseudocyst is an uncommon complication of acute or chronic pancreatitis. We report a case of pancreatic pseudocyst with splenic involvement in a 69-year-old man with a review of literatures. Abdominal CT revealed a 4 cm sized cyst at the pancreatic tail which was extending into the splenic hilum and splenic parenchyma. Distal pancreatectomy and splenectomy was performed. Pathologic findings demonstrated a pseudocyst of pancreatic tail which communicated with the infacted splenic parenchyma. Also vasculitis, endothelial hyperplasia and medial calcification of the splenic artery were observed.
