Cystic dystrophy of the pancreas in patient with only one previous cyst

Rev Esp Enferm Dig. 2011 Feb;103(2):95-7. doi: 10.4321/s1130-01082011000200010.

Abstract

Case report: we describe the case of a 46-year-old patient with cystic dystrophy of the pancreas admitted for alcoholic pancreatitis in a state of alcohol deprivation. The patient's background includes two cases of acute pancreatitis and a computed tomography taken 18 months prior to admittance reveals a 9 mm cyst in the first duodenal portion. Magnetic resonance imaging and endoscopic ultrasonography were consistent with cystic dystrophy of the pancreas without stenosis, for which reason treatment with octreotide was initiated.

Discussion: it is believed to be a disease caused by obstruction of the ducts of the heterotopic pancreas and is associated with alcoholic pancreatitis. Its treatment is still under debate, but it requires pancreatectomy as a last option.

Conclusion: cystic dystrophy of the pancreas is a rare disease and an effort should be made to bring together all of the described cases to increase our understanding of the disease.

Publication types

  • Case Reports

MeSH terms

  • Alcoholism / therapy
  • Cholangiography
  • Endosonography
  • Gastrointestinal Agents / therapeutic use
  • Humans
  • Magnetic Resonance Imaging
  • Male
  • Middle Aged
  • Octreotide / therapeutic use
  • Pancreas / pathology
  • Pancreatic Cyst / complications
  • Pancreatic Cyst / diagnostic imaging
  • Pancreatic Cyst / pathology*
  • Pancreatitis, Alcoholic / complications
  • Pancreatitis, Alcoholic / pathology
  • Smoking / pathology
  • Tomography, X-Ray Computed

Substances

  • Gastrointestinal Agents
  • Octreotide