췌장 가성낭종으로 오진하여 내배액술을 시행한 췌장 점액성 낭선종

• Published in: Annals of surgical treatment and research Vol. 63; no. 3; pp. 256 - 261
• Main Authors: 손경모(Gyung Mo Son), 전태용(Tae Yong Jeon), 심문섭(Mun Sup Sim), 이창훈(Chang Hun Lee), 이영준(Young Jun Lee)
• Format: Journal Article
• Language: Korean
• Published: 대한외과학회 01.09.2002
• Subjects: 일반외과학; 낭성 종양; Cystic neoplasms; 췌장 가성낭종; 점액성 낭선종; Pancreatic pseudocyst; Mucinous cystadenoma
• ISSN: 2288-6575; 2288-6796

Diagnoses of cystic lesions in the pancreas are increasing in clinical practice because of the wider use of imaging studies. The selection of appropriate treatment depends on the ability to distinguish between benign and malignant cysts. However, cystic pancreatic neoplasms sometimes misdiagnosed as pseudocysts, and managed incorrectly. We report herein the case of a pancreatic mucinous cystadenoma, misdiagnosed as a pseudocyst and managed by internal drainage. A 36-year-old woman initially had a cystojejunostomy under the diagnosis of a pseudocyst, but subsequently suffered from epigastric pain and fever due to cyst infection. A distal pancreatectomy, encompassing the previous cystojejunostomy anastomosis site, was performed 2 years after the initial operation and a mucinous cystadenoma was confirmed by histopathologic examination. Although pseudocysts are predominantly cystic lesions in the pancreas, cystic neoplasms should be considered before deciding the treatment strategy because the misdiagnosis a cystic neoplasm as a pseudocyst may result in serious problems. (J Korean Surg Soc 2002;63:256-261) KCI Citation Count: 0