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A case of retroperitoneal duplication cyst diagnosed by pathology after laparoscopic spleen preserving distal pancreatectomy for a cystic mass of the pancreas Keita SATO 1 , Koji TAKAHASHI 1 , Koji FUJII 1 , Yoshihisa TAMURA 1 , Koji KUMAMOTO 1 , Yosuke YAMAUCHI 1 1Department of Surgery, Ise Red Cross Hospital Keyword: 重複腸管 , 後腹膜 , 脾温存膵体尾部切除 pp.271-276
Published Date 2022/11/15
DOI https://doi.org/10.11477/mf.4426201013
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 The case is a 49-year-old woman. A cystic lesion in the pancreatic body tail was noted incidentally during a CT scan of another site. It was observed laparoscopically with a preoperative diagnosis of an solid pseudopapillary tumor or retroperitoneal tumor. Dissection of the pancreas from the pancreas was difficult, and a splenic-sparing distal pancreatectomy was performed. Histopathology revealed no invasion with the body tail, leading to the diagnosis of a primary duplicated intestinal tract of retroperitoneal origin.

 Adult cases of enteric duplication cyst are extremely rare. This type of cyst may be discovered by accident or through symptoms such as abdominal pain. In most cases, a definitive diagnosis is not reached before surgery. Most of the histopathological tissues are benign, but several cases show malignant tissues in the mucosa of the lumen. Thus, surgical resection is desirable for treatment.


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電子版ISSN 2186-6643 印刷版ISSN 1344-6703 日本内視鏡外科学会

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