Cases Journal


Open Access Case Report

An unusual presentation of pancreatic pseudocyst mimicking cystic neoplasm of the pancreas: a case report

Aleksandra Gintowt, Stanislaw Hac*, Sebastian Dobrowolski and Zbigniew Śledziński

Author Affiliations

Department of General, Endocrine and Transplant Surgery, Medical University of Gdansk, 7 Dębinki Street, 80-952 Gdańsk, Poland

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Cases Journal 2009, 2:9138 doi:10.1186/1757-1626-2-9138

Published: 3 December 2009

Abstract

In spite of their rarity, cystic neoplasms of the pancreas are characterized by existing or potential malignancy that cannot be ignored during decisive process with regard to the choice of treatment. Diagnostic difficulties in the differentiation of pancreatic pseudocyst and cystic pancreatic neoplasm can lead to misdiagnosis and inappropriate treatment, since clinical symptoms, preoperative imaging tests and even endoscopic retrograde cholangiopancreatography are often not sufficient to establish the correct diagnosis. We present a case of pancreatic cyst with no typical features of pseudocyst in the medical interview, treated by Child's subtotal pancreatectomy by reason of the high risk of neoplasia suggested by radiological and endoscopic examinations.