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Pancreatic duplication cyst misdiagnosed as distal pancreatic tumor: A case report and surgical approach

Enteric duplication cysts (EDCs) are a benign and uncommon congenital malformation, with a nonspecific and extremely variable clinical presentation. EDCs associated with the pancreas are called pancreatic duplication cysts (PDCs). They are especially rare and can present with recurrent abdominal pai...

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Autores principales: Zain, Lara, Sweity, Raghad, Alshawwa, Khaled, Bannoura, Sami, Jaber, Bashar, Abu-Zaydeh, Omar
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10036569/
https://www.ncbi.nlm.nih.gov/pubmed/36969761
http://dx.doi.org/10.3389/fsurg.2023.1148308
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author Zain, Lara
Sweity, Raghad
Alshawwa, Khaled
Bannoura, Sami
Jaber, Bashar
Abu-Zaydeh, Omar
author_facet Zain, Lara
Sweity, Raghad
Alshawwa, Khaled
Bannoura, Sami
Jaber, Bashar
Abu-Zaydeh, Omar
author_sort Zain, Lara
collection PubMed
description Enteric duplication cysts (EDCs) are a benign and uncommon congenital malformation, with a nonspecific and extremely variable clinical presentation. EDCs associated with the pancreas are called pancreatic duplication cysts (PDCs). They are especially rare and can present with recurrent abdominal pain or even severe pancreatitis. These cysts often get confused with pancreatic neoplasms or pseudocysts, thus posing diagnostic and surgical challenges. Here, we report a case of a 20-year-old male patient with a 14-year history of recurrent abdominal pain and many hospital admissions, who had several imaging studies revealing a persistent focal heterogeneous lesion affecting the tail of the pancreas, surrounding a small pseudocyst. An ultrasound (U/S) guided biopsy was avoided due to the location of the mass. Surgical resection was carried out for the suspicion of malignancy and final pathology report showed benign findings while revealing that what was thought to be a pseudocyst turned out to be a gastric-type PDC, and after reviewing the available literature, we encountered 16 similar cases regarding misdiagnosing PDCs. We conclude that PDCs are very rare and have a variable clinical presentation as well as a likelihood of being confused with other pancreatic neoplasms. Therefore, PDCs need a high index of suspicion to avoid recurrent hospital admissions and unnecessary procedures due to the fact that sometimes a simple cystectomy is adequate.
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spelling pubmed-100365692023-03-25 Pancreatic duplication cyst misdiagnosed as distal pancreatic tumor: A case report and surgical approach Zain, Lara Sweity, Raghad Alshawwa, Khaled Bannoura, Sami Jaber, Bashar Abu-Zaydeh, Omar Front Surg Surgery Enteric duplication cysts (EDCs) are a benign and uncommon congenital malformation, with a nonspecific and extremely variable clinical presentation. EDCs associated with the pancreas are called pancreatic duplication cysts (PDCs). They are especially rare and can present with recurrent abdominal pain or even severe pancreatitis. These cysts often get confused with pancreatic neoplasms or pseudocysts, thus posing diagnostic and surgical challenges. Here, we report a case of a 20-year-old male patient with a 14-year history of recurrent abdominal pain and many hospital admissions, who had several imaging studies revealing a persistent focal heterogeneous lesion affecting the tail of the pancreas, surrounding a small pseudocyst. An ultrasound (U/S) guided biopsy was avoided due to the location of the mass. Surgical resection was carried out for the suspicion of malignancy and final pathology report showed benign findings while revealing that what was thought to be a pseudocyst turned out to be a gastric-type PDC, and after reviewing the available literature, we encountered 16 similar cases regarding misdiagnosing PDCs. We conclude that PDCs are very rare and have a variable clinical presentation as well as a likelihood of being confused with other pancreatic neoplasms. Therefore, PDCs need a high index of suspicion to avoid recurrent hospital admissions and unnecessary procedures due to the fact that sometimes a simple cystectomy is adequate. Frontiers Media S.A. 2023-03-10 /pmc/articles/PMC10036569/ /pubmed/36969761 http://dx.doi.org/10.3389/fsurg.2023.1148308 Text en © 2023 Zain, Sweity, Alshawwa, Bannoura, Jaber and Abu-Zaydeh. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY) (https://creativecommons.org/licenses/by/4.0/) . The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Surgery
Zain, Lara
Sweity, Raghad
Alshawwa, Khaled
Bannoura, Sami
Jaber, Bashar
Abu-Zaydeh, Omar
Pancreatic duplication cyst misdiagnosed as distal pancreatic tumor: A case report and surgical approach
title Pancreatic duplication cyst misdiagnosed as distal pancreatic tumor: A case report and surgical approach
title_full Pancreatic duplication cyst misdiagnosed as distal pancreatic tumor: A case report and surgical approach
title_fullStr Pancreatic duplication cyst misdiagnosed as distal pancreatic tumor: A case report and surgical approach
title_full_unstemmed Pancreatic duplication cyst misdiagnosed as distal pancreatic tumor: A case report and surgical approach
title_short Pancreatic duplication cyst misdiagnosed as distal pancreatic tumor: A case report and surgical approach
title_sort pancreatic duplication cyst misdiagnosed as distal pancreatic tumor: a case report and surgical approach
topic Surgery
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10036569/
https://www.ncbi.nlm.nih.gov/pubmed/36969761
http://dx.doi.org/10.3389/fsurg.2023.1148308
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