Agenesis of Dorsal Pancreas and Solid Pseudopapillary Tumor: Ventral Pancreas Preserving Portal Vein Resection and Reconstruction Using a Peritoneal Graft
A diabetic lady in her 40s was referred to surgical oncologists with epigastric pain associated with vomiting. Computed Tomography (CT) Abdomen with contrast demonstrated a mass arising from the head of the pancreas with the absence of dorsal pancreas, confirmed on magnetic resonance cholangio-pancr...
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| Veröffentlicht in: | Curēus (Palo Alto, CA) CA), 2023-06, Vol.15 (6), p.e40916 |
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| creator | Kumar, Naveena An DSouza, Arika S Usman, Nawaz Bishnoi, Arvind K |
| description | A diabetic lady in her 40s was referred to surgical oncologists with epigastric pain associated with vomiting. Computed Tomography (CT) Abdomen with contrast demonstrated a mass arising from the head of the pancreas with the absence of dorsal pancreas, confirmed on magnetic resonance cholangio-pancreatography (MRCP). A core needle biopsy was done, and the tumor was revealed to be a solid pseudopapillary epithelial neoplasm. She underwent sub-total pancreatectomy preserving the duodenum and ventral pancreas as there was adequate free margin; however due to the tumor abutting the anterior wall of the portal vein, it was resected, and reconstruction was done using a peritoneal graft. The patient made a good recovery without any significant post-operative events. |
| doi_str_mv | 10.7759/cureus.40916 |
| format | Article |
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Computed Tomography (CT) Abdomen with contrast demonstrated a mass arising from the head of the pancreas with the absence of dorsal pancreas, confirmed on magnetic resonance cholangio-pancreatography (MRCP). A core needle biopsy was done, and the tumor was revealed to be a solid pseudopapillary epithelial neoplasm. She underwent sub-total pancreatectomy preserving the duodenum and ventral pancreas as there was adequate free margin; however due to the tumor abutting the anterior wall of the portal vein, it was resected, and reconstruction was done using a peritoneal graft. The patient made a good recovery without any significant post-operative events.</description><identifier>ISSN: 2168-8184</identifier><identifier>EISSN: 2168-8184</identifier><identifier>DOI: 10.7759/cureus.40916</identifier><identifier>PMID: 37496552</identifier><language>eng</language><publisher>United States: Cureus Inc</publisher><subject>Antigens ; Bile ducts ; Cardiac/Thoracic/Vascular Surgery ; Dissection ; General Surgery ; Metastasis ; Oncology ; Pancreas ; Small intestine ; Surgery ; Tomography ; Tumors ; Ultrasonic imaging ; Veins & arteries</subject><ispartof>Curēus (Palo Alto, CA), 2023-06, Vol.15 (6), p.e40916</ispartof><rights>Copyright © 2023, Kumar et al.</rights><rights>Copyright © 2023, Kumar et al. This work is published under https://creativecommons.org/licenses/by/3.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>Copyright © 2023, Kumar et al. 2023 Kumar et al.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c267t-f9a9b203f06c7372c40acda21e6f6a8b47ad9edaab025b8b48c7fb153da2ff1e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10366649/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10366649/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37496552$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kumar, Naveena An</creatorcontrib><creatorcontrib>DSouza, Arika S</creatorcontrib><creatorcontrib>Usman, Nawaz</creatorcontrib><creatorcontrib>Bishnoi, Arvind K</creatorcontrib><title>Agenesis of Dorsal Pancreas and Solid Pseudopapillary Tumor: Ventral Pancreas Preserving Portal Vein Resection and Reconstruction Using a Peritoneal Graft</title><title>Curēus (Palo Alto, CA)</title><addtitle>Cureus</addtitle><description>A diabetic lady in her 40s was referred to surgical oncologists with epigastric pain associated with vomiting. 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| ispartof | Curēus (Palo Alto, CA), 2023-06, Vol.15 (6), p.e40916 |
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| language | eng |
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| source | PubMed Central; PubMed Central Open Access |
| subjects | Antigens Bile ducts Cardiac/Thoracic/Vascular Surgery Dissection General Surgery Metastasis Oncology Pancreas Small intestine Surgery Tomography Tumors Ultrasonic imaging Veins & arteries |
| title | Agenesis of Dorsal Pancreas and Solid Pseudopapillary Tumor: Ventral Pancreas Preserving Portal Vein Resection and Reconstruction Using a Peritoneal Graft |
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