[Congenital cysts of the pancreas. A case report].
The authors report a clinical case of congenital cyst of the pancreas occurred in a female aged 15 months. They stress how this pathology is particularly rare in pediatric age (only 22 cases in the literature) and how it is extremely difficult to formulate a preoperative diagnosis. The young patient was in good general condition with an enormous abdominal tumefaction and without alterations of hematochemical markers. Echographic and tomographic patterns led to four diagnostic hypotheses: a) mesenteric cyst; b) left ovarian cyst or compound ovarian tumor; c) intestinal duplication; d) pancreatic cyst. Only after surgery a correct diagnosis was formulated (on the basis of the topographic position and the intracystic content of amylase and lipase) and a complete resolution of this pathology was obtained. Surgery therefore has the double function of formulating a correct diagnosis and allowing the complete resolution of this pathology. The complete surgical removal of the mass, in view of the benignity of this lesion, is the therapeutic goal.
Maiullari
E
E
Divisione di Chirurgia Pediatrica B, Ospedale Infangile Regina Margherita, Azienda Ospedaliera OIRM-S. Anna, Torino.
Vinardi
S
S
Magro
P
P
Gamba
S
S
Sacco Casamassima
M G
MG
Canavese
F
F
D005260:Female; D006801:Humans; D007223:Infant; D010179:Pancreas / Q000000981:diagnostic imaging / Q000601:surgery; D010181:Pancreatic Cyst / Q000151:congenital* / Q000175:diagnosis / Q000601:surgery; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography
Cisti congenite del pancreas. Descrizione di un caso clinico.