Large lymphoepithelial cyst of pancreas: a rare entity managed using lumen-apposing metal stent-case report and review of the literature

Clin J Gastroenterol. 2019 Dec;12(6):609-614. doi: 10.1007/s12328-019-00982-y. Epub 2019 Apr 12.

Abstract

Lymphoepithelial cysts (LECs) are extremely rare nonmalignant cysts of the pancreas. Asymptomatic LECs are managed conservatively, but symptomatic LECS have traditionally been managed with surgical resection. We report the first case of symptomatic infected LEC of the pancreas successfully managed with EUS guided endoscopic drainage with lumen-apposing metal stent. We also review the relevant literature and discuss the diagnosis and management of this rare cyst of the pancreas.

Keywords: Lumen-apposing metal stent; Lymphoepithelial cyst; Lymphoepithelial cyst of pancreas; Pancreas cyst.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Abdominal Pain / etiology
  • Amoxicillin / therapeutic use
  • Anti-Bacterial Agents / therapeutic use
  • Diagnosis, Differential
  • Drainage / instrumentation
  • Endoscopy, Digestive System / methods
  • Humans
  • Lymphoid Tissue / diagnostic imaging
  • Male
  • Middle Aged
  • Pancreatic Cyst / diagnostic imaging
  • Pancreatic Cyst / drug therapy
  • Pancreatic Cyst / surgery*
  • Pancreatic Pseudocyst / diagnostic imaging
  • Stents*
  • Streptococcal Infections / drug therapy
  • Streptococcal Infections / surgery*
  • Streptococcus anginosus
  • Tomography, X-Ray Computed

Substances

  • Anti-Bacterial Agents
  • Amoxicillin