Encysted adenoma of the head of the pancreas

✍ Scribed by B. T. Rose

• Publisher: John Wiley and Sons
• Year: 1945
• Tongue: English
• Weight: 112 KB
• Volume: 33
• Category: Article
• ISSN: 0007-1323
• DOI: 10.1002/bjs.18003312919

✦ Synopsis

CASE REPORT

HISTORY.-A woman, aged 39 years, was admitted to hospital with a painless swelling just to the right of the midline and above the umbilicus which she had noted for three months. The stomach was above arid to the left, with the transverse colon below.

A diagnosis of retroperitoneal sarcoma was made. OPERATIVE FINDINGS-A localized encapsulated tumour the size of a grape-fruit was found attached to the pancreatic head, with the duodenal loop stretched and flattened round the tumour. Careful dissection separated the duodenal loop off the tumour. Separation from the pancreatic head was associated with coiisiderable hzemorrhage and slight damage to some of the superficial pancreatic lobules. The abdomen was closed with drainage down to the pancreatic head.

Convalescence was stormy with a small pancreatic fistula for three weeks, after which healing occurred. The patient remains well after six months.

Microscopical examination revealed a simple adenomatous structure.