Pitfalls in Diagnostic Imaging of Cystic Pancreatic Masses: A Case of True Cystic Lesion Mimicking a Mucinous Cystadenoma

  • Simone Maurea Dipartimento di Scienze Biomorfologiche e Funzionali Via S. Pansini 5, 80131 Naples Italy. Phone: +39 081 746 3560/2039; Fax: +39 081 545 7081
  • Mario Fusari
  • Massimo Imbriaco
  • Luigi Camera
  • Pier Paolo Mainenti
  • Severo Campione
  • Michele Santangelo
  • Marco Salvatore
Keywords: Diagnostic Imaging, Neoplasms, Pancreas

Abstract

Context Imaging characterization is a frequent topic in diagnostic evaluation of patients with pancreatic cystic lesions. Case report We present a patient with a true pancreatic cyst with internal septation in an adult female. The presence of the internal septum should be considered in the differential diagnosis, in fact in our case CT and MR imaging findings were incorrectly suggestive of mucinous cystadenoma. Conclusion True pancreatic cyst may show septate architecture and thus for imaging characterization this feature should be considered in the differential diagnosis of cystic pancreatic masses.

Downloads

Download data is not yet available.

References

Nigaard, KK, Stacy, LJ. Solitary congenital (dysontogenetic) cyst of the pancreas. Report of a case. Arch Surg 1942;45: 206-212.

Kebapci M, Aslan O, Kaya T, Ilhan H. Prenatal diagnosis of giant congenital pancreatic cyst of a neonate. AJR Am J Roentgenol. 2000 Nov;175(5):1408-10.

Chung JH, Lim GY, Song YT. Congenital true pancreatic cyst detected prenatally in neonate: a case report. J Pediatr Surg. 2007 Sep;42(9):E27-9.

Kazez A, Akpolat N, Kocakoç E, Parmaksiz ME, Köseogullari AA. Congenital true pancreatic cyst: a rare case. Diagn Interv Radiol. 2006 Mar;12(1):31-3.

Agarwala S, Lal A, Bhatnagar V, Dinda AK, Mitra DK. Congenital true pancreatic cyst: presentation and management. Trop Gastroenterol. 1999 Apr-Jun;20(2):87-8.

Khan MA, Verma GR. Solitary true cyst of pancreas: report of a case and reviewof literature. J Gastrointest Cancer. 2010 Jun;41(2):96-100.

Carboni F, Mancini P, Lorusso R, Santoro E. Solitary true cyst of the pancreas in adults. A report of two cases. JOP. 2009 Jul 6;10(4):429-31.

Sanada Y, Yoshida K, Itoh H, Kunita S, Jinushi K, Matsuura H. Groove pancreatitis associated with true pancreatic cyst. J Hepatobiliary Pancreat Surg. 2007;14(4):401-9.

Fiamingo P, Veroux M, Gringeri E, Mencarelli R, Veroux P, Madia C, D'Amico DF. True solitary pancreatic cyst in an adult: report of a case. Surg Today. 2005;35(11):979-83.

Bergin D, Ho LM, Jowell PS, Pappas TN, Paulson EK. Simple pancreatic cysts: CT and endosonographic appearances. AJR Am J Roentgenol. 2002 Apr;178(4):837-40.

Takahashi O, Kondo S, Hirano S, Ambo Y, Tanaka E, Morikawa T, Okushiba S, Kato H. Solitary true cyst of the pancreas in an adult: report of a case. Int J Gastrointest Cancer. 2001;30(3):165-70.

Heindryckx E, Van Steenbergen W, Van Hoe L, et al. Solitary true cyst of the pancreas. Eur Radiol. 1998;8(9):1627-9.

Tanno S, Obara T, Izawa T, Sasaki A, et al. Solitary true cyst of the pancreas in two adults: analysis of cyst fluid and review of the literature. Am J Gastroenterol. 1998 Oct;93(10):1972-5.

Sperti C, Pasquali C, Costantino V, Perasole A, Liessi G, Pedrazzoli S. Solitary true cyst of the pancreas in adults. Report of three cases and review of the literature. Int J Pancreatol. 1995 Oct;18(2):161-7.

Mao C, Greenwood S, Wagner S, Howard JM. Solitary true cyst of the pancreas in an adult. Int J Pancreatol. 1992 Oct;12(2):181-6.

Howard JM. Cystic neoplasms and true cysts of the pancreas. Surg Clin North Am. 1989 Jun;69(3):651-65.

Malka D, Hammel P, Vilgrain V, Fléjou JF, Belghiti J, Bernades P. Chronic obstructive pancreatitis due to a pancreatic cyst in a patient with autosomal dominant polycystic kidney disease. Gut. 1998 Jan;42(1):131-4.

Hammel PR, Vilgrain V, Terris et al. Pancreatic involvement in von Hippel-Lindau disease. The Groupe Francophone d'Etude de la Maladie de von Hippel-Lindau. Gastroenterology. 2000 Oct;119(4):1087-95.

Sahani DV, Kafavigere R, Saokar A, et al. Cystic pancreatic lesion: a simple imaging-based classification system for guiding management. Radiogrphics 2005; 25:1471-1484.

An 8 cm thin-walled, non contrast-enhancing cystic lesion in the pancreatic tail with a hyperdense internal septum
Published
2012-01-10
How to Cite
MaureaS., FusariM., ImbriacoM., CameraL., MainentiP., CampioneS., SantangeloM., & SalvatoreM. (2012). Pitfalls in Diagnostic Imaging of Cystic Pancreatic Masses: A Case of True Cystic Lesion Mimicking a Mucinous Cystadenoma. JOP. Journal of the Pancreas, 13(1), 83-86. https://doi.org/10.6092/1590-8577/623
Section
CASE REPORTS