A Case of Laparoscopic Cystectomy for Congenital Pancreatic Cyst

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  • Kaji Yuki
    Department of Pediatric Surgery, National Hospital Organization Okayama Medical Center
  • Nakahara Yasuo
    Department of Pediatric Surgery, National Hospital Organization Okayama Medical Center Chugoku-Shikoku Pediatric Surgical Partners Organization
  • Takahashi Yusuke
    Department of Pediatric Surgery, National Hospital Organization Okayama Medical Center Chugoku-Shikoku Pediatric Surgical Partners Organization
  • Mukai Wataru
    Department of Pediatric Surgery, National Hospital Organization Okayama Medical Center Chugoku-Shikoku Pediatric Surgical Partners Organization
  • Hitomi Kousuke
    Department of Pediatric Surgery, National Hospital Organization Okayama Medical Center Chugoku-Shikoku Pediatric Surgical Partners Organization
  • Ukida Asami
    Department of Pediatric Surgery, National Hospital Organization Okayama Medical Center Chugoku-Shikoku Pediatric Surgical Partners Organization
  • Takada Chika
    Department of Pediatric Surgery, National Hospital Organization Okayama Medical Center Chugoku-Shikoku Pediatric Surgical Partners Organization

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Other Title
  • 腹腔鏡下腫瘤摘出術を行った先天性膵囊胞の1例
  • フククウキョウ カ シュリュウテキシュツジュツ オ オコナッタ センテンセイスイノウホウ ノ 1レイ

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Abstract

<p>Congenital pancreatic cysts are extremely rare, and there is no established treatment method. We report a case of a congenitally detected simple cyst resected laparoscopically later on in life, diagnosed as a pancreatic cyst with a review of the literature. The patient was a seven-year-old girl, whose fetal ultrasonography showed a simple cyst about 2 cm in diameter located in the left upper abdomen at the gestational age of 38 weeks and 2 days. She was born six days later, weighing 3,280 grams. Her pancreatic enzyme level was high at the age of four; otherwise, the course was asymptomatic. At the age of seven years and two months, a laparoscopic cystectomy was performed to prevent future complications such as pancreatitis and to confirm the diagnosis. The cyst was about 3 cm in diameter and communicated with the pancreatic duct. The cyst contained a large amount of atheromatous material consisting of protein, and the fluid had high levels of pancreatic enzymes. Pathological findings showed many columnar epithelial cells with partial papillary ducts, which lined the wall of the cyst and indicated the pancreatic origin of the cyst. The postoperative course was uneventful and now twelve months after the surgery, the patient is doing fine.</p>

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