doiSerbia

Giant haemorrhagic (pseudo)cyst of the pancreas of unknown aetiology

Čolović Radoje (Klinika za digestivnu hirurgiju, Klinički centar Srbije, Beograd)
Grubor Nikica (Klinika za digestivnu hirurgiju, Klinički centar Srbije, Beograd)
Micev Marjan (Klinika za digestivnu hirurgiju, Klinički centar Srbije, Beograd)
Latinčić Stojan (Klinika za digestivnu hirurgiju, Klinički centar Srbije, Beograd)
Čolović Nataša (Klinika za hematologiju, Klinički centar Srbije, Beograd)
Kaitović Marko (Klinika za digestivnu hirurgiju, Klinički centar Srbije, Beograd)
Perišić Mirjana (Klinika za digestivnu hirurgiju, Klinički centar Srbije, Beograd)

Introduction. Cystic lesions of the pancreas are frequent. Most frequently their aetiology can be easily established. It is very rare that the nature and aetiology of these lesions cannot be reliably established. Case Outline. A 40-year-old male without trauma, alcohol abuse, acute or chronic pancreatitis in illness history was successfully operated on for a haemorrhagic (pseudo)cyst of the back wall of the pancreas tail containing 4.5 litres of haemorrhagic content. The cyst did not contain either epithelium or tumour stroma, and the pancreas did not show any changes of acute or chronic pancreatitis. Hystology did not show signs of angiectatic pseudocyst. Conclusion. In spite of all efforts, the authors could not establish the real nature of the (pseudo)cyst of the pancreas or find a similar case described in the literature. Nevertheless, the authors believe that it was probably an angiectatic cyst.

Keywords: pancreas, haemorrhagic (pseudo)cyst, excision, unknown aetiology