The Error of Differential Diagnosis of Pancreatic Cystic Lesion Using CEUS (Case Report)

N N Askerova,A N Askerova,A V Glotov,N N Vetsheva,Yu A Stepanova

doi:10.24835/1607-0763-2017-1-29-35

Abstract

The use of the contrast agent SonoVue has been allowed in Russia since June 2014. Since then, russian experts have been accumulating their own experience in the contrast agent application for various diseases. The analysis of the obtained data showed that, besides the typical characteristics of the lesions enhancement, described in the literature, there can be atypical cases due to various causes (longterm course of the disease, co-morbidity). We present a clinical case of pancreas cystic lesion in female patient, that was misunderstood as a cystic tumor preoperatively. Considering the epithelial lining nature, absence of the accurate signs of the presence of an ovarian-like stroma, and also the significant secondary changes in the cystic wall such as hyalinosis, cholesterol deposits and macrophage accumulations, the lesion was interpreted as a long-standing pancreatic retention cyst with secondary changes by a morphological study. The features of the enhancement patterns of this lesion can be explained by the presence of significant secondary changes in the wall of cyst, that was first diagnosed in this patient 10 years ago.

Highlights

В России применение контрастного препарата Соновью разрешено с июня 2014 г., и с тех пор отечественные специалисты накапливают собственный опыт применения данного препарата при различных заболеваниях
The use of the contrast agent SonoVue has been allowed in Russia since June 2014
Russian experts have been accumulating their own experience in the contrast agent application for various diseases

Summary

Introduction

В России применение контрастного препарата Соновью разрешено с июня 2014 г., и с тех пор отечественные специалисты накапливают собственный опыт применения данного препарата при различных заболеваниях. Askerova N.N., Askerova A.N., Stepanova Yu.A., Vetsheva N.N., Glotov A.V. A.V. Vishnevsky Institute of Surgery, Moscow, Russia Приводим клиническое наблюдение пациентки с кистозным образованием поджелудочной железы, у которой при предоперационном обследовании был неверно поставлен диагноз кистозной опухоли.

Results

Conclusion