3 years ago

Pancréatite aiguë et rupture rétropéritonéale : complication double d’un cystadénome mucineux pancréatique

A. Haddad, A. Sebai, R. Rhaiem, A. Ghedira, A. Makni

Publication date: Available online 21 September 2018

Source: Journal de Chirurgie Viscérale

Author(s): A. Haddad, A. Sebai, R. Rhaiem, A. Ghedira, A. Makni

Résumé

Les cystadénomes sont des tumeurs bénignes fréquentes du pancréas dont le risque est une transformation maligne en cystadénocarcinome. La complication la plus fréquente est la pancréatite aiguë. Nous présentons une complication unique du cystadénome mucineux : la rupture rétropéritonéale associée à une pancréatite aiguë. Après stabilisation en soins intensifs, l’intervention chirurgicale trouve une masse kystique de la queue du pancréas avec rupture rétropéritonéale. Une splénopancréatectomie est réalisée. Les suites opératoires sont simples. Il n’y a pas de signes de récidive à trois ans de suivi.

Summary

Mucinous cystadenomas are the most frequent cystic benign tumors of the pancreas. They are characterized by a malignant potential. Acute pancreatitis is their most common complication. This manuscript reports a unique complication of mucinous cystadenomas of the pancreas: retroperitoneal rupture associated to acute pancreatitis. After resuscitation, the patient underwent surgery. A cystic mass of the pancreas tail with retroperitoneal rupture was found. Splenopancreatectomy was performed. Outcomes were straightforward. After 3 years of follow up, no signs of recurrence are highlighted.

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