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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| Published in | HPB Surgery Vol. 2008; no. 2008; pp. 20 - 22 |
|---|---|
| Main Authors | , , |
| Format | Journal Article |
| Language | English |
| Published |
Cairo, Egypt
Hindawi Limiteds
2008
Hindawi Puplishing Corporation Hindawi Publishing Corporation John Wiley & Sons, Inc |
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| Abstract | 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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| AbstractList | 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. 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. 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. 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. 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. Copyright [C] 2008 Andrew J. Healey et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
| Audience | Academic |
| Author | Healey, Andrew J. Reed, Anna Jiao, Long R. |
| AuthorAffiliation | Division of Surgery, Oncology, Reproductive Biology and Anaesthetics, Imperial College of Science, Technology, and Medicine, Hammersmith Hospital Campus, Du Cane Road, London W12 0NN, UK |
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| Cites_doi | 10.1093/clinids/20.4.890 10.1007/s002689900209 10.1016/0002-9610(74)90301-8 10.1097/00000478-200301000-00012 10.1097/00000658-198510000-00002 10.1001/archsurg.1990.01410220053008 10.1001/archsurg.1993.01420170122019 |
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| Copyright | Copyright © 2008 COPYRIGHT 2008 John Wiley & Sons, Inc. Copyright © 2008 Andrew J. Healey et al. 2008 |
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| References | (4) 2003; 27 (5) 1985; 202 (7) 1995; 20 (1) 1997; 21 (8) 1974; 139 (2) 1974; 127 (6) 1990; 125 (3) 1993; 128 8995072 - World J Surg. 1997 Feb;21(2):162-8 4207007 - Am J Surg. 1974 Apr;127(4):484-91 4834279 - Surg Gynecol Obstet. 1974 Jul;139(1):69-81 7795090 - Clin Infect Dis. 1995 Apr;20(4):890-4 12502933 - Am J Surg Pathol. 2003 Jan;27(1):110-20 2222168 - Arch Surg. 1990 Oct;125(10):1269-74; discussion 1274-5 4051596 - Ann Surg. 1985 Oct;202(4):408-17 8489394 - Arch Surg. 1993 May;128(5):586-90 1 2 |
| References_xml | – volume: 125 start-page: 1269 issue: 10 year: 1990 end-page: 1275 ident: 6 article-title: Comprehensive management of acute necrotizing pancreatitis and pancreatic abscess – volume: 21 start-page: 162 issue: 2 year: 1997 end-page: 168 ident: 1 article-title: Interventional and surgical treatment of pancreatic abscess – volume: 139 start-page: 69 issue: 1 year: 1974 end-page: 81 ident: 8 article-title: Prognostic signs and the role of operative management in acute pancreatitis – volume: 128 start-page: 586 issue: 5 year: 1993 end-page: 590 ident: 3 article-title: A clinically based classification system for acute pancreatitis – volume: 27 start-page: 110 issue: 1 year: 2003 end-page: 120 ident: 4 article-title: Pancreaticoduodenectomy (Whipple resections) in patients without malignancy: are they all ‘chronic pancreatitis’? – volume: 202 start-page: 408 issue: 4 year: 1985 end-page: 417 ident: 5 article-title: Improved survival in 45 patients with pancreatic abscess – volume: 20 start-page: 890 issue: 4 year: 1995 end-page: 894 ident: 7 article-title: Tuberculous pancreatic abscess as an initial AIDS-defining disorder in a patient infected with the human immunodeficiency virus: case report and review – volume: 127 start-page: 484 issue: 4 year: 1974 end-page: 491 ident: 2 article-title: Surgical intervention in acute necrotizing pancreatitis – volume: 20 start-page: 890 issue: 4 year: 1995 ident: 7 publication-title: Clinical Infectious Diseases doi: 10.1093/clinids/20.4.890 – ident: 1 doi: 10.1007/s002689900209 – ident: 2 doi: 10.1016/0002-9610(74)90301-8 – volume: 27 start-page: 110 issue: 1 year: 2003 ident: 4 publication-title: The American Journal of Surgical Pathology doi: 10.1097/00000478-200301000-00012 – volume: 202 start-page: 408 issue: 4 year: 1985 ident: 5 publication-title: Annals of Surgery doi: 10.1097/00000658-198510000-00002 – volume: 125 start-page: 1269 issue: 10 year: 1990 ident: 6 publication-title: Archives of Surgery doi: 10.1001/archsurg.1990.01410220053008 – volume: 139 start-page: 69 issue: 1 year: 1974 ident: 8 publication-title: Surgery Gynecology and Obstetrics – volume: 128 start-page: 586 issue: 5 year: 1993 ident: 3 publication-title: Archives of Surgery doi: 10.1001/archsurg.1993.01420170122019 |
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| Snippet | Intra-abdominal abscesses formation in patients with no preceding symptoms is rare. Infection of the pancreas occurs in 5–9% of patients with acute... Intra-abdominal abscesses formation in patients with no preceding symptoms is rare. Infection of the pancreas occurs in 5-9% of patients with acute... Intra-abdominal abscesses formation in patients with no preceding symptoms is rare. Infection of the pancreas occurs in 5–9% of patients with acute... |
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| Title | Pancreatic Mass with an Unusual Pathology: A Case Report |
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