The Japanese Journal of Gastroenterological Surgery
Online ISSN : 1348-9372
Print ISSN : 0386-9768
ISSN-L : 0386-9768
A Case of Cystadenoma of the Pancreas with Internal Hemorrhage Presenting Hematemesis
Takahiro SasayaAkihiro YamaguchiMasatoshi IsogaiTohru HaradaYuji KaneokaMasahiko SuzukiJunji WashizuKeita Sakata
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2004 Volume 37 Issue 9 Pages 1560-1564

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Abstract
A 73-year-old woman admitted for epigastric pain and hematemesis and having a 10-year history of aspirin in-gestion was found in abdominal CT to have a 68×74 mm cystic lesion in the pancreatic tail. The lesion con-tained a slightly high-density area with a low-density area in the center. The CT number of each was 17HU, 75HU, and 45HU. ERCP showed a dilated main pancreatic duct and the cyst communicating with a pancreatic duct branch in the tail. MRI suggested hemorrhage into the pancreatic cyst, but we could not exclude malig-nancy due to the elevated tumor marker. A distal pancreatectomy showed clotted blood but no elevated le-sion, suggesting neoplasm within the cyst. Histological examination showed the cyst wall to be lined with co-lumnar epithelium, leading to a final diagnosis of cystadenoma of the pancreas. The postoperative course was uneventful and she was discharged on postoperative day 22.
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この記事はクリエイティブ・コモンズ [表示 - 非営利 4.0 国際]ライセンスの下に提供されています。
https://creativecommons.org/licenses/by-nc/4.0/deed.ja
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