RESUMO
Cystic lesions of pancreas include a myriad of different conditions ranging from the common pseudocyst to unusual cystic neoplasm. With the development of better imaging modalities, cystic neoplasms are diagnosed with greater frequency and accuracy leading on to better understanding of the natural course of these lesions. Serous cystadenoma is one of the rare neoplasms of the pancreas that is unique for its benign nature. Most of the time surgery is indicated for the symptom of pain when the lesion enlarges. Surgery may also be indicated due to the fact that, it may not always be possible to dogmatically differentiate it from the potentially malignant counterpart radiologically. One of the interesting aspects about serous cystadenoma is its association with other systemic disorders like von Hippel Lindau syndrome. Herein we report a rare association of serous cystadenoma with mediastinal lipoma, which has not been reported in the literature.
RESUMO
Isolated pancreatic tuberculosis is an extremely rare condition, more so in an immunocompetent individual. Its presentation as pancreatic abscesses with colonic perforation has not been reported so far. This condition poses difficulties in clinical diagnoses. Herein we report a case who was operated in another hospital for pancreatic abscesses, and referred to our institution later when he developed fecal peritonitis due to colonic perforation. Re-laparotomy, resection and exteriorisation of the colon were done. Acid fast bacilli was seen in the histopathological examination of the resected colon. The patient responded remarkably to anti-tuberculous therapy and two sittings of debridement. Post procedure the patient developed pancreatic fistula, which was managed successfully with stenting. Pancreatic tuberculosis should be considered as a differential diagnosis when pancreatitis is atypical.
