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Chirurgia 2009 October;22(5):231-4

language: English

A new case of solitary true pancreatic cyst

Zentar A. 1, Fahsi M. 1, Sall I. 1, Bouchentouf S. M. 1, Rharrassi I. 2, Rimani I. 2, Janati I. M. 1

1 Departement of Digestive Surgery, Military Hospital Mohammed V, Rabat, Morroco, Medical School, Mohammed V University of Rabat, Morroco
2 Departement of Histology, Military Hospital Mohammed V, Rabat, Morroco, Medical School, Mohammed V University of Rabat, Morroco


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True cyst of the pancreas is extremely rare, few cases have been reported in adult patients. Authors reports a new case of this rare pathological entity. A 35-year-old man was admitted to our unit for a symptomatic cystic mass located in the pancreatic head, in proximity of the duodenum, vena cava, biliary tree, and right kidney, which was about 6 cm in diameter. Clinical features, and imagery allowed us to suspect a benign neoplasm, as surgical findings. Surgery has consisted on cysto-duodenostomy. Histological findings has revealed a cyst lined by a cuboidal epithelium without morphologic alterations. Analysis of the cyst fluid showed a high level CA 19-9 (10,000 u/ml). At 1 year follow-up, the patient is well without any abdominal symptoms. Ultrasound images revealed no cyst recurrence. Diagnosis management and surgery are briefly discussed.

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