Giant Cystic Pancreatic Mass
Danilo Coco, Silvana Leanza
Received: 19 Oct 2020 - Accepted: 02 Nov 2020 - Published: 02 Nov 2020
Domain: Surgical oncology
Keywords: Cystic lesions of the pancreas, colo-colonic anastomosis, transversum resection
©Danilo Coco et al. PAMJ - Clinical Medicine (ISSN: 2707-2797). This is an Open Access article distributed under the terms of the Creative Commons Attribution International 4.0 License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Cite this article: Danilo Coco et al. Giant Cystic Pancreatic Mass. PAMJ - Clinical Medicine. 2020;4:75. [doi: 10.11604/pamj-cm.2020.4.75.26586]
Available online at: https://www.clinical-medicine.panafrican-med-journal.com/content/article/4/75/full
Giant cystic pancreatic mass
Danilo Coco1,&, Silvana Leanza1
A 47 years old Caucasian woman presented to the emergency department with significant abdominal pain, vomiting and abdominal distension. She denied any medical history and any therapy. Her vital signs were: blood pressure, 130/70 mmHg, respiratory rate 30 breaths/minute, heart rate 70 beats/minute and temperature of 36°C. Oxygen saturation was 95% on room air. The abdominal examination showed an abnormal mass in epigastric region. Thoracic examination reported reduced vesicular murmur. Laboratory evaluation revealed normal leukocytosis with a White Blood Cell (WBC) count of 9 per mm3. Arterial Blood Gases (ABG) was normal. Abdominal Computed Tomography revealed a giant cystic mass in left pancreas and adhesion with stomach and colon trasversum. An open laparotomy showed a voluminous cystic lesions in distal pancreas. En-bloc spleno-pancreatectomy following trasversum resection and colo-colonic anastomosis was performed. Histopathological findings showed a 14 x 9 cm mucinous adenoma with cellular atipias. After a pancreatic fistulas Grade A, the patient was discharged 10 days after.
Figure 1: Abdominal Computed Tomography revealed a giant cystic mass in left pancreas and adhesion with stomach and colon transversum