Department of Gastroenterological Surgery and Oncology, Tazuke Kofukai Medical Research Institute, Kitano Hospital, 2-4-20 Ohgimachi, Kita-ku, Osaka, 530-8480, Japan.
Surg Today. 2011 Jul;41(7):1011-5. doi: 10.1007/s00595-010-4400-3. Epub 2011 Jul 12.
A pancreatic endometrial cyst is an extremely rare disease. Since 1984, only 7 cases have been reported, including the current case. A 35-year-old woman with a history of recurrent severe left upper abdominal pain of 3 months' duration was found to have a cyst in the pancreatic body on the diagnostic imaging findings. With a preoperative diagnosis of mucous cystic adenoma, she underwent a distal pancreatectomy. The histopathological examination of the specimen revealed a pancreatic endometrial cyst. She complained about severe periodic abdominal pain during the convalescence, without any surgical complications. This study reviews previous reports of pancreatic endometrial cysts, and also discusses the clinicopathological features, pathogenesis, and appropriate treatment for this disease.
胰腺子宫内膜异位囊肿是一种极为罕见的疾病。自 1984 年以来,全世界仅报道了 7 例,包括本病例。一位 35 岁女性,因反复发作的严重左上腹痛 3 个月就诊,影像学检查发现胰体部有一囊肿。术前诊断为黏液性囊腺瘤,行胰体尾切除术。标本的组织病理学检查显示为胰腺子宫内膜异位囊肿。患者在康复期间诉严重周期性腹痛,但无任何手术并发症。本研究复习了既往胰腺子宫内膜异位囊肿的报道,并讨论了该病的临床病理特征、发病机制和恰当的治疗方法。