Pancreatic Mucinous Cystadenoma Misdiagnosed as Pancreatic Pseudocyst and Managed by Internal Drainage.
- Author:
Gyung Mo SON
1
;
Tae Yong JEON
;
Mun Sup SIM
;
Chang Hun LEE
;
Young Jun LEE
Author Information
1. Department of Surgery, Pusan Nnational University Medical School, Busan, Korea. skm171@hanmail.net
- Publication Type:Case Report
- Keywords:
Pancreatic pseudocyst;
Cystic neoplasms;
Mucinous cystadenoma
- MeSH:
Adult;
Cystadenoma, Mucinous*;
Diagnosis;
Diagnostic Errors;
Drainage*;
Female;
Fever;
Humans;
Mucins*;
Pancreas;
Pancreatectomy;
Pancreatic Neoplasms;
Pancreatic Pseudocyst*
- From:Journal of the Korean Surgical Society
2002;63(3):256-261
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Diagnoses of cystic lesions in the pancreas are increasing in clinical practice because of the wider use of imaging studies. The selection of appropriate treatment depends on the ability to distinguish between benign and malignant cysts. However, cystic pancreatic neoplasms sometimes misdiagnosed as pseudocysts, and managed incorrectly. We report herein the case of a pancreatic mucinous cystadenoma, misdiagnosed as a pseudocyst and managed by internal drainage. A 36-year-old woman initially had a cystojejunostomy under the diagnosis of a pseudocyst, but subsequently suffered from epigastric pain and fever due to cyst infection. A distal pancreatectomy, encompassing the previous cystojejunostomy anastomosis site, was performed 2 years after the initial operation and a mucinous cystadenoma was confirmed by histopathologic examination. Although pseudocysts are predominantly cystic lesions in the pancreas, cystic neoplasms should be considered before deciding the treatment strategy because the misdiagnosis a cystic neoplasm as a pseudocyst may result in serious problems.
