title: Laparoscopy-assisted spleen-preserving pancreatic resection for epidermoid cyst in an intrapancreatic accessory spleen.
abstract: A rare case of an epidermoid cyst originating in an intrapancreatic accessory spleen in a 50-year-old Japanese female is reported. A hypoechoic cystic tumor was detected incidentally by abdominal ultrasonography. It appeared to be a single cyst in the pancreatic tail with a contrasted mass lesion beside it. Laparoscopy-assisted spleen-preserving pancreatic tail resection was performed. Microscopic examination revealed that the cyst was surrounded by fibrous tissue and a thin layer of splenic tissue, adjacent to normal pancreatic parenchyma. The inner surface of the cyst was lined with non-keratinizing squamous epithelium. The diagnosis of an epidermoid cyst occurring in an intrapancreatic accessory spleen was confirmed. Laparoscopy-assisted spleen-preserving pancreatic resection is a safe and effective procedure for benign or low-grade malignant cystic diseases in the pancreas.
authors: Department of Digestive Surgery, Kawasaki Medical School, Kurashiki, Japan. aurakami@med.kawasaki-m.ac.jp
authors: A
authors: A
authors: Urakami
authors: K
authors: K
authors: Yoshida
authors: Y
authors: Y
authors: Hirabayashi
authors: H
authors: H
authors: Kubota
authors: K
authors: K
authors: Yamashita
authors: T
authors: T
authors: Hirai
authors: T
authors: T
authors: Tsunoda
mesh_terms: D002828:Choristoma / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D004814:Epidermal Cyst / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D005260:Female; D006801:Humans; D010535:Laparoscopy; D008875:Middle Aged; D010180:Pancreatectomy / Q000379:methods*; D010182:Pancreatic Diseases / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D013154:Spleen