Pancreatic endometrial cyst: Report of a case

Masaharu Oishi, Hiroki Hashida, Yoshiaki Yuba, Arimichi Takabayashi
In: Surgery Today · 2011 · vol. 41(7) , pp. 1011–1015 · doi:10.1007/s00595-010-4400-3 · PMID:21748624 · W1992496267
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This report details an extremely rare case of a pancreatic endometrial cyst in a 35-year-old woman and reviews existing literature on its clinicopathological features, pathogenesis, and treatment.

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This paper reports an extremely rare case of a pancreatic endometrial cyst in a 35-year-old woman with 3 months of recurrent severe left upper abdominal pain. Using diagnostic imaging, the authors made a preoperative diagnosis of mucous cystic adenoma, and she underwent distal pancreatectomy; histopathology later identified a pancreatic endometrial cyst, with severe periodic abdominal pain persisting during convalescence and no surgical complications. The study also reviews the previously reported pancreatic endometrial cyst literature since 1984, totaling only eight cases, and discusses clinicopathological features, proposed pathogenesis, and appropriate treatment approaches, without stating specific limitations beyond the rarity and reliance on case reports. This paper is centrally about endometriosis — it presents and reviews a pancreatic endometrial cyst as an uncommon manifestation of endometriosis.

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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. Similar content being viewed by others

References

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