Advertisement

Surgery Today

, Volume 41, Issue 7, pp 1011–1015 | Cite as

Pancreatic endometrial cyst: Report of a case

  • Masaharu Oishi
  • Hiroki Hashida
  • Yoshiaki Yuba
  • Arimichi Takabayashi
Case Report

Abstract

A pancreatic endometrial cyst is an extremely rare disease. Since 1984, only 7 cases have been reported, including the current case. A 35-year-old woman with a history of recurrent severe left upper abdominal pain of 3 months’ duration was found to have a cyst in the pancreatic body on the diagnostic imaging findings. With a preoperative diagnosis of mucous cystic adenoma, she underwent a distal pancreatectomy. The histopathological examination of the specimen revealed a pancreatic endometrial cyst. She complained about severe periodic abdominal pain during the convalescence, without any surgical complications. This study reviews previous reports of pancreatic endometrial cysts, and also discusses the clinicopathological features, pathogenesis, and appropriate treatment for this disease.

Key words

Pancreatic endometrial cyst Recurrent abdominal pain Cystic lesion of the pancreas 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Graig AW. Current concepts in the pathogenesis of endometriosis. Clin Obstet Gynecol 1999;42:566–585.CrossRefGoogle Scholar
  2. 2.
    Dmowski WP, Radwanska E. Current concepts on pathology, histogenesis and etiology of endometriosis. Acta Obstet Gynecol Scand Suppl 1984;123:29–33.PubMedCrossRefGoogle Scholar
  3. 3.
    Marchevsky AM, Zimmerman MJ, Aufses AH Jr, Weiss H. Endometrial cyst of the pancreas. Gastroenterology 1984;86:1589–1591.PubMedGoogle Scholar
  4. 4.
    Goswami AK, Sharma SP, Tandon SP, Malik N, Mathur RP, Malik AK, et al. Pancreatic endometriosis presenting as a hypovascular renal mass. J Urol 1986;135:112–113.PubMedGoogle Scholar
  5. 5.
    Verbeke C, Harle M, Sturm J. Cystic endometriosis of the upper abdominal organs. Report on three cases and review of the literature. Pathol Res Pract 1996;192:300–304.PubMedGoogle Scholar
  6. 6.
    Sumiyoshi Y, Yamashita Y, Maekawa T, Sakai T, Shirakusa T. A case of hemorrhagic cyst of the pancreas resembling the cystic endometriosis. Int Surg 2000;85:67–70.PubMedGoogle Scholar
  7. 7.
    Lee DS, Baek JT, Ahn BM, Lee EH, Han SW, Chung IS, et al. A case of pancreatic endometrial cyst. Korean J Intern Med 2002;17:266–269.PubMedGoogle Scholar
  8. 8.
    Tunuguntla A, Buren NV, Mathews MR, Ehrenfried JA. Endometriosis of the pancreas presenting as a cystic pancreatic neoplasm with possible metastasis. South Med J 2004;97:1020–1021.PubMedCrossRefGoogle Scholar
  9. 9.
    Fox H, Buckley CH. Current concepts of endometriosis. Clin Obstet Gynaecol 1984;11:279–287.PubMedGoogle Scholar
  10. 10.
    Oral E, Arici A. Pathogenesis of endometriosis. Obstet Gynecol Clin North Am 1997;24:219–233.PubMedCrossRefGoogle Scholar
  11. 11.
    Gruenwald, P. Origin of endometriosis from the mesenchyme of coelomic walls. Am J Obstet Gynecol 1942;44:470–474.Google Scholar
  12. 12.
    Sampson J. Peritoneal endometriosis due to the menstrual dissemination of endometrial tissue into the peritoneal cavity. Am J Obstet Gynecol 1927;14:422–469.Google Scholar
  13. 13.
    Sampson JA. Heterotopic or misplaced endometrial tissue. Am J Obstet Gynecol 1925;10:649–664.Google Scholar
  14. 14.
    Kennedy S, Bergqvist A, Chapron C, D’Hooghe T, Dunselman G, Greb R, et al. ESHRE guideline for the diagnosis and treatment of endometriosis. Hum Reprod 2005;20:2698–2704.PubMedCrossRefGoogle Scholar
  15. 15.
    Sahm M, Pross M, Schuberi D, Lippert H. Laparoscopic distal pancreatic resection: Our own experience in the treatment of solid tumors. Surg Today 2009;39:1103–1108.PubMedCrossRefGoogle Scholar
  16. 16.
    Itano O, Chiba N, Wada T, Yuasa Y, Sato T, Ishikawa H, et al. Laparoscopic resection of an epidermoid cyst originating from an intrapancreatic accessory spleen: report of a case. Surg Today 2010,40:72–75.PubMedCrossRefGoogle Scholar

Copyright information

© Springer 2011

Authors and Affiliations

  • Masaharu Oishi
    • 1
  • Hiroki Hashida
    • 1
  • Yoshiaki Yuba
    • 2
  • Arimichi Takabayashi
    • 1
  1. 1.Department of Gastroenterological Surgery and OncologyTazuke Kofukai Medical Research Institute, Kitano HospitalOsakaJapan
  2. 2.Department of PathologyTazuke Kofukai Medical Research Institute, Kitano HospitalOsakaJapan

Personalised recommendations