A case of hemorrhagic cyst of the pancreas resembling the cystic endometriosis

Yoshiaki Sumiyoshi, Sumiyoshi Y, Y Sumiyoshi, Yuichi Yamashita, Yamashita Y, Y Yamashita, Maekawa T, Takafumi Maekawa, T Maekawa, T Sakai, Takehiko Sakai, Sakai T, T Shirakusa, Shirakusa T
International surgery · 2000 · vol. 85(1) , pp. 67–70 · PMID:10817436 · W1538995054
Case report OA: closed CC0 ⤵ 8 in-corpus citations
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A patient with pancreatic pain and anemia was found to have a pancreatic tail cyst that, upon surgical resection, histologically resembled cystic endometriosis due to hemorrhage and hemosiderin deposition.

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Abstract

A 47-year-old Japanese woman with a history of epigastric pain and a recent episode of acute pancreatitis (back pain, nausea, and vomiting) and anemia was found to have a pancreatic cyst of the tail on CT-scan and ultrasonography. Especially, ultrasonography revealed the papillary solid lesion in the cyst. With the tentative diagnosis of a cystic neoplasm, distal pancreatectomy was performed. Histological examination of sections showed massive hemorrhage, surrounded fibrous connective tissue, and numerous macrophages with hemosiderin deposits; these histological findings resembled cystic endometriosis. The clinicopathological features and pathogenesis of the pancreatic endometrial cyst are discussed.

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Hemorrhage Pancreatic Cyst Pancreatic Diseases Anemia, Hypochromic Anemia, Hypochromic Anemia, Hypochromic Endometriosis Endometriosis Endometriosis Female Female Hemorrhage Hemorrhage Hemorrhage Hemorrhage Humans Humans Middle Aged Middle Aged

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Cited by (8)

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europepmc
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openalex
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License: CC0 · commercial use OK