Pancreatic endometriosis a rare entity in surgery: a case report

Carlos Durán Gutiérrez, Braulio Rios Muñoz
In: International Surgery Journal · 2024 · vol. 11(5) , pp. 819–821 · doi:10.18203/2349-2902.isj20241149 · W4396498502
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⚙ AI-generated summary by claude@2026-06, 2026-06-08 ⓘ

This case report details a rare instance of pancreatic endometriosis, identified in a young woman presenting with abdominal pain and suspected pancreatic cyst, which was confirmed via histopathology after surgical intervention.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-13 · read from full text ⓘ

This case report studied a young woman of childbearing age admitted for abdominal pain with recently elevated pancreatic enzymes, in whom evaluation with normal parameters led to suspicion of a pancreatic cyst. She underwent surgical treatment, and intraoperative clinical signs led to puncture of a cyst that appeared consistent with endometriosis; histopathology subsequently confirmed pancreatic endometriosis. The authors note this entity is little known in surgery and can be confused with other causes of pancreatitis or pancreatic pathologies, though the case had a favorable outcome after surgical intervention. This paper is centrally about endometriosis — it reports a rare case of pancreatic endometriosis diagnosed after surgical puncture and confirmed by histopathology.

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Abstract

Endometriosis is a rare entity that occurs in 2 to 10% of women of childbearing age. It may be rarer if it occurs in extrapelvic organs and extremely rarely in pancreatic tissue, and it may be confused with other causes of pancreatitis or pancreatic pathologies. In the following case we present a young woman of childbearing age who is admitted with abdominal pain. She mentions having recently had elevated pancreatic enzymes. At the time of evaluation within normal parameters, a pancreatic cyst is suspected, which is why it is She underwent surgical treatment, however, due to clinical signs, a cyst with the appearance of endometriosis was punctured, and the histopathological report confirmed pancreatic endometriosis, an entity little known in surgery, however, with a favorable outcome after surgical intervention.
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Pancreatic endometriosis a rare entity in surgery: a case report DOI: https://doi.org/10.18203/2349-2902.isj20241149Keywords: Pancreatic endometriosis, Surgery, Laparoscopic surgery, Pancreatic pathologies, Tumor quístico pancreasAbstract Endometriosis is a rare entity that occurs in 2 to 10% of women of childbearing age. It may be rarer if it occurs in extrapelvic organs and extremely rarely in pancreatic tissue, and it may be confused with other causes of pancreatitis or pancreatic pathologies. In the following case we present a young woman of childbearing age who is admitted with abdominal pain. She mentions having recently had elevated pancreatic enzymes. At the time of evaluation within normal parameters, a pancreatic cyst is suspected, which is why it is She underwent surgical treatment, however, due to clinical signs, a cyst with the appearance of endometriosis was punctured, and the histopathological report confirmed pancreatic endometriosis, an entity little known in surgery, however, with a favorable outcome after surgical intervention. Metrics References Eskenazi B, Warner ML. Epidemiology of endometriosis. Obstet Gynecol Clin North Am. 1997;24(2):235-58. Kjerulff KH, Erickson BA, Langenberg PW. Chronic gynecological conditions reported by US women: findings from the National Health Interview Survey, 1984 to 1992. Am J Public Health. 1996;86(2):195-9. Macer ML, Taylor HS. Endometriosis and infertility: a review of the pathogenesis and treatment of endometriosis-associated infertility. Obstet Gynecol Clin North Am. 2012;39(4):535-49. Canlorbe G, Laas E, Cortez A, Daraï E. Spontaneous hymeneal endometriosis: a rare cause of dyspareunia. BMJ Case Rep. 2014;2014:bcr2013202299. Tinto DB. Endometriosis diafragmática: diagnóstico, manejo quirúrgico y resultados del tratamiento a largo plazo. Fértil Esteril. 2002;77:288. Lira-Treviño A, Carranza Mendoza IG, Borbolla Arizti JP, Soriano-Ríos A, Uscanga-Domínguez L, Peláez-Luna M. Pancreatic cystic lesions. Differential diagnosis and treatment strategy. Rev Gastroenterol Mex (Engl Ed). 2022;87(2):188-97. Veeraswamy A, Lewis M, Mann A, Kotikela S, Hajhosseini B, Nezhat C. Extragenital endometriosis. Clin Obstet Gynecol. 2010;53(2):449-66. Howard JM. Neoplasias quísticas y quistes verdaderos del páncreas. Surg Clin Norte Am. 1989;69:651-65. Lee DS, Baek JT, Ahn BM. Un caso de quiste endometrial pancreático. Médico Interno J Coreano. 2002;17:266-9. Mederos MA, Villafañe N, Dhingra S. El quiste endometrial pancreático imita una neoplasia quística mucinosa del páncreas. Mundo J Gastroenterol. 2017;23:1113-8. Assifi MM, Nguyen PD, Agrawal N. Quistes epiteliales no neoplásicos del páncreas: una entidad rara y benigna. J Gastrointest Surg. 2014;18:523-31. Huang B, Mooser A, Carpenter D, Montenegro G, Luu C. A Rare Case of Pancreatic Endometriosis Masquerading as Pancreatic Mucinous Neoplasm. Case Rep Surg. 2021;2021:5570290. Oishi M, Hashida H, Yuba Y, Takabayashi A. Pancreatic endometrial cyst: report of a case. Surg Today. 2011;41(7):1011-5.

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