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KMID : 0357920080420060405
Korean Journal of Pathology
2008 Volume.42 No. 6 p.405 ~ p.408
Pancreatic Pseudocyst with Splenic Involvement - A Case Report -
Chun Jeong-Hwan

Kim Han-Seong
Joo Mee
Chang Sun-Hee
Kwak Ji-Eun
Shim Sang-Hwa
Kim Chul-Nam
Cha Soon-Joo
Abstract
There have been a few reported cases of pancreatic pseudocyst with involvement of adjacent structures including the stomach, duodenum, and even the mediastinum. An intrasplenic pancreatic pseudocyst is an uncommon complication of acute or chronic pancreatitis. We report a case of pancreatic pseudocyst with splenic involvement in a 69-year-old man with a review of literatures. Abdominal CT revealed a 4 cm sized cyst at the pancreatic tail which was extending into the splenic hilum and splenic parenchyma. Distal pancreatectomy and splenectomy was performed. Pathologic findings demonstrated a pseudocyst of pancreatic tail which communicated with the infacted splenic parenchyma. Also vasculitis, endothelial hyperplasia and medial calcification of the splenic artery were observed.
KEYWORD
Pancreatic pseudocyst, Spleen, Vasculitis
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