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Clinical Journal of Gastroenterology
Published in: Clinical Journal of Gastroenterology 6/2019

01-12-2019 | Pancreatic Cyst | Case Report

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

Authors: Monica Chowdhry, Mohammad Bilal, Hamza Shah, Jesse Clanton, Shailendra Singh

Published in: Clinical Journal of Gastroenterology | Issue 6/2019

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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.
Literature
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Kavuturu S, Sarwani NE, Ruggeiro FM, et al. Lymphoepithelial cysts of the pancreas. Can preoperative imaging distinguish this benign lesion from malignant or pre-malignant cystic pancreatic lesions? JOP. 2013;14(3):250–5.PubMed
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Laffan TA, Horton KM, Klein AP, et al. Prevalence of unsuspected pancreatic cysts on MDCT. Am J Roentgenol. 2008;191:802–7.CrossRef
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Adsay NV, Hasteh F, Cheng JD, et al. Lymphoepithelial cysts of the pancreas: a report of 12 cases and a review of the literature. Mod Pathol. 2002;15:492–501.CrossRef
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Truong LD, Stewart MG, Hao H, et al. A comprehensive characterization of lymphoepithelial cyst associated with the pancreas. Am J Surg. 1995;170:27–322.CrossRef
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Dalal KS, DeWitt JM, Sherman S, et al. Endoscopic ultrasound characteristics of pancreatic lymphoepithelial cysts: a case series from a large referral center. Endosc Ultrasound. 2016;5:248–53.CrossRef
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Nasr J, Sanders M, Fasanella K, et al. Lymphoepithelial cyst of the pancreas: an EUS case series. Gastrointest Endosc. 2008;68:170–3.CrossRef
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Raval JS, Zeh HJ, Moser AJ, et al. Pancreatic lymphoepithelial cysts express CEA and can contain mucous cells: potential pitfalls in the preoperative diagnosis. Mod Pathol. 2010;23:1467–76.CrossRef
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Amarjothi JMV, Raju P, Duraisamy B, et al. Lymphoepithelial cyst of pancreas—case report and analysis of 235 cases reported in literature. J Pancreas. 2018;19(4):197–205.
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Rao B, Garg M, Singh S, et al. Endoscopic ultrasound-guided drainage of a perforated gallbladder with resultant liver abscess using a lumen apposing stent. Gastrointest Endosc. 2017;85(5):AB115.CrossRef
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Mudireddy PR, Sethi A, Siddiqui AA, et al. EUS-guided drainage of postsurgical fluid collections using lumen-apposing metal stents: a multicenter study. Gastrointest Endosc. 2018;87(5):1256–62.CrossRef
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Aburajab M, Smith Z, Khan A, et al. Safety and efficacy of lumen-apposing metal stents with and without simultaneous double-pigtail plastic stents for draining pancreatic pseudocyst. Gastrointest Endosc. 2018;87(5):1248–55.CrossRef
Metadata
Title
Large lymphoepithelial cyst of pancreas: a rare entity managed using lumen-apposing metal stent—case report and review of the literature
Authors
Monica Chowdhry
Mohammad Bilal
Hamza Shah
Jesse Clanton
Shailendra Singh
Publication date
01-12-2019
Publisher
Springer Japan
Published in
Clinical Journal of Gastroenterology / Issue 6/2019
Print ISSN: 1865-7257
Electronic ISSN: 1865-7265
DOI
https://doi.org/10.1007/s12328-019-00982-y

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