Advertisement

Surgery Today

, Volume 30, Issue 7, pp 667–669 | Cite as

Intracystic hemorrhage of pancreatic serous cystadenoma after renal transplantation: Report of a case

  • Takanori Sakaguchi
  • Satoshi Nakamura
  • Shohachi Suzuki
  • Hiroyuki Konno
  • Kimio Fujita
  • Kazuo Suzuki
  • Tomomi Ushiyama
  • Akira Ishikawa
  • Masaki Harada
  • Satoshi Baba
Case Reports

Abstract

Immunosuppressive therapy after transplantation increases the risk of developing neoplasms, and neoplasms of the digestive organs are very common in Asia. We experienced a patient with an intracystic hemorrhage of pancreatic serous cystadenoma during the follow-up after renal transplantation. Pancreatic cystadenomas are not frequent. Only two cases, presenting with acute abdomen, have so far been reported in the literature. The intracystic hemorrhage in our case may have been related to a rapid tumor growth due to weakened antitumor immunity and azathioprineinduced pancreatitis.

Key Words

Serous cystadenoma Rupture Renal transplantation Drug-induced pancreatitis 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Warshaw AL, Compton CC, Lewandrowski K, Cardenosa G, Mueller PR (1990) Cystic tumors of the pancreas. New clinical, radiologic, and pathologic observations in 67 patients. Ann Surg 212:432–443PubMedCrossRefGoogle Scholar
  2. 2.
    Pyke CM, van Heerden JA, Colby TV, Sarr MG, Weaver AL (1992) The spectrum of serous cystadenoma of the pancreas. Clinical, pathologic, and surgical aspects. Ann Surg 215:132–139PubMedCrossRefGoogle Scholar
  3. 3.
    Rosenbaum H, Connolly PJ, Climie ARW, Reveno WS (1963) Pancreatic cystadenoma with intestinal hemorrhage. Am J Roentgenol 90:735–739Google Scholar
  4. 4.
    Penn I (1990) Occurrence of cancers in immunosuppressed organ transplant recipients. Clinical Transplants: 53-62Google Scholar
  5. 5.
    Sigfusson G, Fricker FJ, Bernstein D, Addonizio LJ, Baum D, Hsu DT, Chin C, Miller SA, Boyle GJ, Miller J, Lawrence KS, Douglas JF, Griffith BP, Reitz BA, Michler RE, Rose ER, Webber SA (1997) Long-term survivors of pediatric heart transplantation: a multicenter report of sixty-eight children who have survived longer than five years. J Pediatr 130:862–871PubMedCrossRefGoogle Scholar
  6. 6.
    Spees EK, Katz RS, Sandles L, Light JA, Zachary JB, Williams GM (1983) APUD system neoplasms in renal transplant patients. Surgery 94:501–507PubMedGoogle Scholar
  7. 7.
    Jin DC, Yoon YS, Yoon SA, Kim YS, Bang BK, Koh YB (1994) Ten cases of malignancies in kidney allografts. Transplant Proc 26:1975–1976PubMedGoogle Scholar
  8. 8.
    Jirasiritham S, Jirasiritham S, Sumethkul V, Chiewsilp P (1996) Incidence of post kidney transplantation neoplasm in Thailand. Transplant Proc 28:1586–1587PubMedGoogle Scholar
  9. 9.
    Yokota K, Fukumitsu M, Kuzuhara K, Otsubo O, Tomikawa S, Nagao T, Uchida H, Sato K, Nakayama Y, Endo T, Kamata K (1994) Development of cancer in renal allograft recipients. Transplant Proc 26:1977–1978PubMedGoogle Scholar
  10. 10.
    Fernandez JA, Rosenberg JC (1976) Post-transplantation pancreatitis. Surg Gynecol Obstet 143:795–798PubMedGoogle Scholar
  11. 11.
    Mallory A, Kern F (1988) Drug-induced pancreatitis. Baillieres Clin Gastroenterol 2:293–307PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag 2000

Authors and Affiliations

  • Takanori Sakaguchi
    • 1
  • Satoshi Nakamura
    • 1
  • Shohachi Suzuki
    • 1
  • Hiroyuki Konno
    • 1
  • Kimio Fujita
    • 2
  • Kazuo Suzuki
    • 2
  • Tomomi Ushiyama
    • 2
  • Akira Ishikawa
    • 2
  • Masaki Harada
    • 2
  • Satoshi Baba
    • 3
  1. 1.Department of Surgery IIHamamatsu University School of MedicineHamamatsuJapan
  2. 2.Department of UrologyHamamatsu University School of MedicineHamamatsuJapan
  3. 3.Second Department of PathologyHamamatsu University School of MedicineHamamatsuJapan

Personalised recommendations