A Case of Laparoscopic Spleen-Preserving Distal Pancreatectomy for an Epithelial Cyst in the Intrapancreatic Accessory Spleen after Distal Gastrectomy

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  • 幽門側胃切除後の膵内副脾上皮囊胞に対し腹腔鏡下脾温存尾側膵切除術を施行した1例

Abstract

<p>A 58-year-old woman underwent laparoscopic distal gastrectomy for gastric cancer and laparoscopic-assisted partial resection of the small intestine for an arteriovenous malformation. Follow-up contrast-enhanced abdominal CT showed a peripherally enhanced mass lesion of 19 mm in diameter in the tail of the pancreas. Contrast-enhanced MRI also showed a mass lesion at the same site. There was no evidence of recurrence. The patient was diagnosed with a pancreatic neuroendocrine tumor, and laparoscopic spleen-preserving distal pancreatectomy was performed. She was subsequently discharged without postoperative complications. A histopathological examination revealed an epithelial cyst arising in the intrapancreatic accessory spleen, which is relatively rare and difficult to diagnose preoperatively. However, there is a need to pay attention to blood flow in the residual stomach while performing distal pancreatectomy in patients with a medical history of gastrectomy. Herein, we report a case of laparoscopic spleen-preserving distal pancreatectomy for an epithelial cyst arising in an intrapancreatic accessory spleen after distal gastrectomy.</p>

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