CLINICAL CASES   

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

Copyright © 2009 EDIZIONI MINERVA MEDICA

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

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.