A Case of Serous Cystadenoma of the Pancreas with a Main Complaint of Obstructive Jaundice

We recently resected a serous cystadenoma of the pancreas with obstructive jaundice in our department and the case report is presented in this article. A 56-year-old man visited our hospital with a main complaint of jaundice. An abdominal ultrasonogram and CT scan revealed a cystic lesion corresponding with the head of the pancreas, and angiography showed the tumor to be hypovascular. Serous cystadenoma was then diagnosed after laparotomy. Up to the end to 1988 a total of 69 patients, including ours, with serous cystadenoma of the pancreas were reported in Japan and are reviewed in this study. This disease is routinely diagnosed by imaging, description of the internal structure of the mass, and analysis of its contents. However, because some cases show image findings similar to those of mucinous type which tend to be malignant, it is desirable to confirm the diagnosis surgically.