Pancreatic Mass with an Unusual Pathology: A Case Report

Intra-abdominal abscesses formation in patients with no preceding symptoms is rare. Infection of the pancreas occurs in 5–9% of patients with acute pancreatitis, more commonly as a complication of necrotising or severe pancreatitis. We have reported a case of a 64-year-old almost entirely asymptomat...

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Bibliographic Details
Published inHPB Surgery Vol. 2008; no. 2008; pp. 20 - 22
Main Authors Healey, Andrew J., Reed, Anna, Jiao, Long R.
Format Journal Article
LanguageEnglish
Published Cairo, Egypt Hindawi Limiteds 2008
Hindawi Puplishing Corporation
Hindawi Publishing Corporation
John Wiley & Sons, Inc
Subjects
Care and treatment
Case Report
Development and progression
Diagnosis
Gallstones
Pancreatic diseases
United Kingdom
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Summary:Intra-abdominal abscesses formation in patients with no preceding symptoms is rare. Infection of the pancreas occurs in 5–9% of patients with acute pancreatitis, more commonly as a complication of necrotising or severe pancreatitis. We have reported a case of a 64-year-old almost entirely asymptomatic man who underwent a Whipple's procedure following extensive investigation of a pancreatic mass. The pathology and histology showed no evidence of malignancy, and instead a true pancreatic abscess, centred around an impacted cholesterol calculus in the distal CBD. Of suspicious pancreatic masses that are resected, chronic choledocholithiasis is the aetiology in less than 5% of nonmalignant or “false positives.” This report describes such a case.
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Recommended by Hobart Harris
ISSN:0894-8569
1607-8462
DOI:10.1155/2008/374602