AlNuaimi Dana, Akmal Yasir, AlDuaij Ahmad, Sherif Ahmed, Abdulghaffar Shareefa, Cem Balci Numan
Fatima College of Health Sciences, Radiology and Medical Imaging Department, Abu Dhabi, United Arab Emirates.
Cleveland Clinic Abu Dhabi, AlMaryah Island, Abu Dhabi, United Arab Emirates.
BJR Case Rep. 2023 Jan 13;9(1):20220141. doi: 10.1259/bjrcr.20220141. eCollection 2023 Feb.
Pancreatic endometriosis is extremely rare with only 14 cases reported in the medical literature and its diagnosis on radiological imaging poses a great challenge. We report a case of a 31-year-old female patient with recurrent admissions for pancreatitis of unknown aetiology and no relevant previous medical history. Sectional imaging showed a cystic lesion in the tail of the pancreas and the diagnosis of a post-pancreatitis pseudocyst or a less likely pre-malignant mucinous cystadenoma was considered. On post-robotic resection of the pancreatic cyst, the histopathology analysis was positive for endometrial stroma. Pancreatic endometriosis although rare should be considered as a differential diagnosis for cystic lesions especially in patients who are known to have pelvic endometriosis. Nevertheless, the gold standard for the definite diagnosis of pancreatic endometriosis remains histopathological.
胰腺子宫内膜异位症极为罕见，医学文献中仅报道过14例，其在放射影像学上的诊断极具挑战性。我们报告一例31岁女性患者，因病因不明的胰腺炎反复入院，既往无相关病史。断层成像显示胰腺尾部有一个囊性病变，考虑诊断为胰腺炎后假性囊肿或可能性较小的癌前黏液性囊腺瘤。在对胰腺囊肿进行机器人辅助切除术后，组织病理学分析显示子宫内膜间质呈阳性。胰腺子宫内膜异位症虽然罕见，但对于囊性病变，尤其是已知患有盆腔子宫内膜异位症的患者，应将其作为鉴别诊断之一。然而，胰腺子宫内膜异位症明确诊断的金标准仍然是组织病理学。
