congenital true cystic mass of the pancreas in a Young woman: which treatment?

Alfonso Maiorana, Giuseppe Agnello, Agnello, Cremona, Farinella, Ciulla, Maiorana, Antonio Ciulla, Desiree Farinella, Fabrizio Cremona

Risultato della ricerca: Article

Abstract

Aim. We report a case of congenital true pancreatic cyst with high level of enzymatic activity, rarely seen in young and children which, to the best of our knowledge, rarely has previously been reported. A young girl was admitted to our clinic with a history of abdominal swelling and pain during exercise for many months. A mobile, smooth, non-tender mass was palpated on the left side of the abdomen during physical examination. Ultrasonography and computed tomography imaging revealed a not subdivide cystic mass sized 11.51x8.2 cm. Methods. Surgical treatment was considered, but given the young age of the patient, we declined for fear of complications. Therefore, US-guided percutaneous drainage of cystic was performed. After a week, at the ultrasound check, thanks to obstruction of drainage, we decided to intervene surgically. During abdominal surgical exploration, the pancreatic tail was larger than normal, and a pancreatic cyst arising from the tail of the pancreas was observed. Total cystectomy was performed with distal pancreatectomy. Results. The postoperative period was complication free and the patient was discharged on the seventh postoperative day. No complications occurred during the six-month follow-up period. Conclusion. Early diagnosis and timely intervention have improved the results of surgical therapy in this disease. Although it is extremely rare in children, congenital true pancreatic cyst should be diagnostically considered in cases involving a cystic mass neighbouring the pancreas. Ultrasonography, computed tomography and magnetic resonance imaging is helpful in differential diagnosis of other cysts originating from neighbouring organs. Total excision with distal pancreatectomy and splenic preservation are advised for distal pancreatic cyst.
Lingua originaleEnglish
Numero di pagine6
RivistaDefault journal
Volume171
Stato di pubblicazionePublished - 2013

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Pancreatic Cyst
Pancreas
Pancreatectomy
Drainage
Ultrasonography
Tomography
Cystectomy
Therapeutics
Postoperative Period
Abdomen
Abdominal Pain
Physical Examination
Fear
Cysts
Early Diagnosis
Differential Diagnosis
Magnetic Resonance Imaging
Exercise

All Science Journal Classification (ASJC) codes

  • Medicine(all)

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congenital true cystic mass of the pancreas in a Young woman: which treatment? / Maiorana, Alfonso; Agnello, Giuseppe; Agnello; Cremona; Farinella; Ciulla; Maiorana; Ciulla, Antonio; Farinella, Desiree; Cremona, Fabrizio.

In: Default journal, Vol. 171, 2013.

Risultato della ricerca: Article

Maiorana, A, Agnello, G, Agnello, Cremona, Farinella, Ciulla, Maiorana, Ciulla, A, Farinella, D & Cremona, F 2013, 'congenital true cystic mass of the pancreas in a Young woman: which treatment?', Default journal, vol. 171.
Maiorana, Alfonso ; Agnello, Giuseppe ; Agnello ; Cremona ; Farinella ; Ciulla ; Maiorana ; Ciulla, Antonio ; Farinella, Desiree ; Cremona, Fabrizio. / congenital true cystic mass of the pancreas in a Young woman: which treatment?. In: Default journal. 2013 ; Vol. 171.
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title = "congenital true cystic mass of the pancreas in a Young woman: which treatment?",
abstract = "Aim. We report a case of congenital true pancreatic cyst with high level of enzymatic activity, rarely seen in young and children which, to the best of our knowledge, rarely has previously been reported. A young girl was admitted to our clinic with a history of abdominal swelling and pain during exercise for many months. A mobile, smooth, non-tender mass was palpated on the left side of the abdomen during physical examination. Ultrasonography and computed tomography imaging revealed a not subdivide cystic mass sized 11.51x8.2 cm. Methods. Surgical treatment was considered, but given the young age of the patient, we declined for fear of complications. Therefore, US-guided percutaneous drainage of cystic was performed. After a week, at the ultrasound check, thanks to obstruction of drainage, we decided to intervene surgically. During abdominal surgical exploration, the pancreatic tail was larger than normal, and a pancreatic cyst arising from the tail of the pancreas was observed. Total cystectomy was performed with distal pancreatectomy. Results. The postoperative period was complication free and the patient was discharged on the seventh postoperative day. No complications occurred during the six-month follow-up period. Conclusion. Early diagnosis and timely intervention have improved the results of surgical therapy in this disease. Although it is extremely rare in children, congenital true pancreatic cyst should be diagnostically considered in cases involving a cystic mass neighbouring the pancreas. Ultrasonography, computed tomography and magnetic resonance imaging is helpful in differential diagnosis of other cysts originating from neighbouring organs. Total excision with distal pancreatectomy and splenic preservation are advised for distal pancreatic cyst.",
author = "Alfonso Maiorana and Giuseppe Agnello and Agnello and Cremona and Farinella and Ciulla and Maiorana and Antonio Ciulla and Desiree Farinella and Fabrizio Cremona",
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TY - JOUR

T1 - congenital true cystic mass of the pancreas in a Young woman: which treatment?

AU - Maiorana, Alfonso

AU - Agnello, Giuseppe

AU - Agnello, null

AU - Cremona, null

AU - Farinella, null

AU - Ciulla, null

AU - Maiorana, null

AU - Ciulla, Antonio

AU - Farinella, Desiree

AU - Cremona, Fabrizio

PY - 2013

Y1 - 2013

N2 - Aim. We report a case of congenital true pancreatic cyst with high level of enzymatic activity, rarely seen in young and children which, to the best of our knowledge, rarely has previously been reported. A young girl was admitted to our clinic with a history of abdominal swelling and pain during exercise for many months. A mobile, smooth, non-tender mass was palpated on the left side of the abdomen during physical examination. Ultrasonography and computed tomography imaging revealed a not subdivide cystic mass sized 11.51x8.2 cm. Methods. Surgical treatment was considered, but given the young age of the patient, we declined for fear of complications. Therefore, US-guided percutaneous drainage of cystic was performed. After a week, at the ultrasound check, thanks to obstruction of drainage, we decided to intervene surgically. During abdominal surgical exploration, the pancreatic tail was larger than normal, and a pancreatic cyst arising from the tail of the pancreas was observed. Total cystectomy was performed with distal pancreatectomy. Results. The postoperative period was complication free and the patient was discharged on the seventh postoperative day. No complications occurred during the six-month follow-up period. Conclusion. Early diagnosis and timely intervention have improved the results of surgical therapy in this disease. Although it is extremely rare in children, congenital true pancreatic cyst should be diagnostically considered in cases involving a cystic mass neighbouring the pancreas. Ultrasonography, computed tomography and magnetic resonance imaging is helpful in differential diagnosis of other cysts originating from neighbouring organs. Total excision with distal pancreatectomy and splenic preservation are advised for distal pancreatic cyst.

AB - Aim. We report a case of congenital true pancreatic cyst with high level of enzymatic activity, rarely seen in young and children which, to the best of our knowledge, rarely has previously been reported. A young girl was admitted to our clinic with a history of abdominal swelling and pain during exercise for many months. A mobile, smooth, non-tender mass was palpated on the left side of the abdomen during physical examination. Ultrasonography and computed tomography imaging revealed a not subdivide cystic mass sized 11.51x8.2 cm. Methods. Surgical treatment was considered, but given the young age of the patient, we declined for fear of complications. Therefore, US-guided percutaneous drainage of cystic was performed. After a week, at the ultrasound check, thanks to obstruction of drainage, we decided to intervene surgically. During abdominal surgical exploration, the pancreatic tail was larger than normal, and a pancreatic cyst arising from the tail of the pancreas was observed. Total cystectomy was performed with distal pancreatectomy. Results. The postoperative period was complication free and the patient was discharged on the seventh postoperative day. No complications occurred during the six-month follow-up period. Conclusion. Early diagnosis and timely intervention have improved the results of surgical therapy in this disease. Although it is extremely rare in children, congenital true pancreatic cyst should be diagnostically considered in cases involving a cystic mass neighbouring the pancreas. Ultrasonography, computed tomography and magnetic resonance imaging is helpful in differential diagnosis of other cysts originating from neighbouring organs. Total excision with distal pancreatectomy and splenic preservation are advised for distal pancreatic cyst.

UR - http://hdl.handle.net/10447/101927

M3 - Article

VL - 171

JO - Default journal

JF - Default journal

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