A Case Report of the Pancreatic Cystadenocarcinoma with Splenic Infarction

Ryouji Iizuka, Atsushi Takenaka, Hiroshi Izumi, Kouji Fujii, Osamu Ikawa, Keigo Miyata, Naoki Kakihara, Hiroomi Matsumura, Yuichi Saisaka and Akihiro Nagata*

Department of Surgery, Kyoto Second Red Cross Hospital
Department of Pathology, Kyoto Second Red Cross Hospital*

We report a case of pancreatic cystadenocaricinoma with splenic infarction. A 52-year-old woman seeking emergency treatment for back pain developed from the left flank was diagnosed with a 4 cm cyst in the pancreas tail by CT and ultrasonography. She reported frequent pain while scanned as an outpatient. Laboratory data showed inflammation and anemia during abdominal pain seizures, but no rise in tumor markers or amylase concentration. We found a peripherally enhanced cystic lesion from the pancreas body to the splenic hilum and a low density area at the upper spleen in CT. We diagnosed it as splenic infarction caused by the cystic pancreas tail tumor. Because laparotomy findings showed a hard mass at the pancreas tail and the infarction at the apex of the spleen could not be separated, we conducted distal pancreatosplenectomy. Histological by the resected specimen showedpancreatic cyctadenocarcinoma with splenic infarction.

Key words
splenic infarction, cystadenocarcinoma

Reprint requests
Ryouji Iizuka Department of Surgery, Kyoto Second Red Cross Hospital
Kamanza Marutamachi, Kamigyo-ku, Kyoto, 602-802 JAPAN

Accepted
February 25, 2004

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