Research Article | Open Access
Volume 2025 - 4 | Article ID 290 | https://dx.doi.org/10.51521/IJMCCR.2025.e4-2-113
Academic Editor: John Bose
Dr. Houda Ezzaki, Pr. Karim Ibn Majdoub, Pr. Ahmed
Zerhouni, Pr. Tarik Souiki, Pr. Imane Toughrai
CHU HASSAN II Fès/General Surgery Department
Corresponding Author: Dr. Houda Ezzaki, CHU HASSAN II Fès/General Surgery
Department
Citation: Dr. Houda Ezzaki, Pr. Karim Ibn
Majdoub, Pr. Ahmed Zerhouni, Pr. Tarik Souiki, Pr. Imane Toughrai, (2025) Spleen-Preserving
Distal Pancreatectomy for Mucinous Cystic Neoplasm: A Case Report and Review of
the Literature. Int J Med Clin Case Rep, 4(2),1-2.
Copyright: © 2025 Dr. Houda Ezzaki, et
al. This is an open-access article distributed under the terms of the
Creative Commons Attribution 4.0 International License, which permits
unrestricted use, distribution and reproduction in any medium, provided the
original author and source are credited.
Abstract
Background: Mucinous cystic neoplasms (MCN) of the
pancreas are rare cystic tumors with malignant potential, typically affecting
middle-aged women and predominantly located in the pancreatic body and tail.
Surgical resection remains the treatment of choice.
Case presentation: We report the case of a 50-year-old
woman presenting with vague abdominal pain. Imaging revealed a well-defined,
round cystic lesion in the pancreatic tail with calcifications. A
spleen-preserving distal pancreatectomy was performed with an uneventful
postoperative course. Histopathological analysis confirmed a mucinous cystic
neoplasm without invasive features.
Discussion: Spleen preservation during distal
pancreatectomy reduces the long-term risk of overwhelming post-splenectomy
infection (OPSI), a rare but potentially fatal complication. Several studies
have demonstrated decreased postoperative morbidity with spleen-preserving
approaches, albeit at the cost of longer operative times. Preservation of the
splenic vessels reduces the risk of splenic infarction compared with vessel
resection.
Conclusion: Spleen-preserving distal
pancreatectomy is a safe and effective surgical option for MCN, allowing
preservation of immunological function while achieving oncological safety.
Keywords: Pancreatectomy, Mucinous Cystic Neoplasms, Pancreas, Cystic Tumors, Surgical
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