췌장 가성낭종으로 오진하여 내배액술을 시행한 췌장 점액성 낭선종
Pancreatic Mucinous Cystadenoma Misdiagnosed as Pancreatic Pseudocyst and Managed by Internal Drainage
손경모, 전태용, 심문섭, 이창훈, 이영준,
소속 상세정보
손경모 ( Son kyung-Mo )
부산대학교 의과대학 외과학교실
전태용 ( Jeon Tae-Yong )
부산대학교 의과대학 외과학교실
심문섭 ( Sim Mun-Sup )
부산대학교 의과대학 외과학교실
이창훈 ( Lee Chang-Hun )
부산대학교 의과대학 병리학교실
이영준 ( Lee Young-Jun )
김해자성병원 외과
KMID : 0371320020630030256
Abstract
Diagnoses of cystic lesions in the pancreas are increasing in clinical practice because of the wider use of imaging studies. The selection of appropriate treatment depends on the ability to distinguish between benign and malignant cysts. However,
cystic
pancreatic neoplasms sometimes misdiagnosed as pseudocysts, and managed incorrectly. We report herein the case of a pancreatic mucinous cystadenoma, misdiagnosed as a pseudocyst and managed by internal drainage. A 36-year-old woman initially had
a
cystojejunostomy under the diagnosis of a pseudocyst, but subsequently suffered from epigastric pain and fever due to cyst infection. A distal pancreatectomy, encompassing the previous cystojejunostomy anastomosis site, was performed 2 years after
the
initial operation and a mucinous cystadenoma was confirmed by histopathologic examination. Although pseudocysts are predominantly cystic lesions in the pancreas, cystic neoplasms should be considered before deciding the treatment strategy because
the
misdiagnosis a cystic neoplasm as a pseudocyst may result in serious problems.
키워드
췌장 가성낭종; 낭성 종양; 점액성 낭선종; Pancreatic pseudocyst; Cystic neoplasms; Mucinous cystadenoma;
원문 및 링크아웃 정보
등재저널 정보