Pancreatic endometrioma in a post‐menopausal woman: A rare differential diagnosis for cystic lesions of the pancreas

Sara Koçi, Hilmi Anıl Dinçer, Alican Arslan, Zehranur Kiki, Cenk Sökmensüer, Ahmet Doğrul
In: Surgical Practice · 2025 · vol. 29(3) , pp. 169–171 · doi:10.1111/1744-1633.12740 · W4406341812
article OA: closed CC0
Full text JSON View on OpenAlex View at publisher
⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-06-07 ⓘ

This case report describes a 53-year-old woman diagnosed with pancreatic endometriosis after imaging suggested a cystic pancreatic lesion and surgical resection confirmed endometrial stroma.

One-sentence paraphrase of the abstract; not a substitute for reading it. No clinical advice. How this works

⚙ AI-generated deep summary by qwen3.7-flash, 2026-08-16 · read from full text ⓘ

This case report describes a 53-year-old post-menopausal woman presenting with left upper quadrant pain and an enlarging cystic lesion in the pancreatic tail that was initially suspected to be a mucinous neoplasm. Following a distal pancreatectomy and splenectomy, histopathological examination confirmed the diagnosis of pancreatic endometrioma by identifying endometrial stroma within the tissue. The authors note that while considering this rare differential may help avoid unnecessary extensive surgery, definitive diagnosis requires histology and surgical resection remains necessary when malignancy cannot be ruled out. This paper is centrally about endometriosis — specifically, it documents a rare extra-pelvic manifestation known as pancreatic endometrioma in a post-menopausal patient.

Read from the paper's body, not the abstract. Not a substitute for reading the paper. No clinical advice. How this works

Abstract

Abstract Background Although endometriosis is a relatively common condition affecting women, pancreatic endometriosis remains rare, with only a few cases reported in the literature. The primary challenges this condition poses today are its inability to be diagnosed radiologically and the difficulty in distinguishing it from other cystic lesions of the pancreas preoperatively. Methods This report presents a case of a 53‐year‐old female patient with 3 months long left upper quadrant pain and no previous medical history. Imaging revealed an enlarging cyst in the tail of the pancreas, with findings suggestive of a mucinous neoplasm. Results The patient underwent a distal pancreatectomy and splenectomy. Histopathological analysis confirmed the presence of endometrial stroma. Conclusions Considering the possibility of pancreatic endometriosis may help avoid extensive surgery. However, as the definite diagnosis of endometriosis remains histopathological, surgical resection continues to be the treatment of choice if malignancy is suspected.
Full text 1,248 characters · extracted from oa-doi-fallback · 4 sections · click to expand

Abstract

Background Although endometriosis is a relatively common condition affecting women, pancreatic endometriosis remains rare, with only a few cases reported in the literature. The primary challenges this condition poses today are its inability to be diagnosed radiologically and the difficulty in distinguishing it from other cystic lesions of the pancreas preoperatively.

Methods

This report presents a case of a 53-year-old female patient with 3 months long left upper quadrant pain and no previous medical history. Imaging revealed an enlarging cyst in the tail of the pancreas, with findings suggestive of a mucinous neoplasm.

Results

The patient underwent a distal pancreatectomy and splenectomy. Histopathological analysis confirmed the presence of endometrial stroma.

Conclusions

Considering the possibility of pancreatic endometriosis may help avoid extensive surgery. However, as the definite diagnosis of endometriosis remains histopathological, surgical resection continues to be the treatment of choice if malignancy is suspected. CONFLICT OF INTEREST STATEMENT The authors have declared no conflicts of interest.

Text is read by the "Ask this paper" AI Q&A widget below. Extraction quality varies by source — PMC NXML preserves structure cleanly, OA-HTML may include some navigation residue, and OA-PDF can have broken hyphenation. The publisher copy (via DOI) is the canonical version.

My notes (saved in your browser only)

⚙ Ask this paper AI returns verbatim quotes from the full text · source: oa-doi-fallback ⓘ

Answers must be backed by verbatim quotes from this paper's full text. Hallucinated quotes are dropped automatically; if no verbatim passage answers the question, we say so. How this works

Condition tags

endometriosisendometrioma

Citation neighborhood (sparse)

Too few in-corpus citations on either side for a chart; here are the lists.

Cites (3)

References (4)

Source provenance

openalex
last seen: 2026-06-10T17:14:06.276822+00:00
License: CC0 · commercial use OK