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Pancreatic Fungal Ball Presenting as Pseudomass
Naomi Chou1, Rebecca Burbridge2, Sarah Karram3
1Duke University School of Medicine, Duke University Medical Center, Durham, NC.
ACG Case Reports Journal
|May 2, 2017
Summary
Pancreatic fungal infections are rare but can mimic cancer. Surgical resection of a fungal mass in the pancreas led to improved patient outcomes.
Area of Science:
- Gastroenterology
- Surgical Oncology
- Infectious Diseases
Background:
- Pancreatic fungal infections typically occur with predisposing conditions like necrotizing pancreatitis, cysts, or abscesses.
- Fungal infections of the pancreas are uncommon in the absence of these factors.
- These infections can present symptomatically and radiographically similar to pancreatic neoplasms.
Observation:
- A 48-year-old male presented with epigastric pain, nausea, vomiting, and weight loss.
- Imaging revealed a potential mass in the pancreatic head.
- The patient underwent a Whipple procedure for suspected pancreatic malignancy.
Findings:
- Histopathological examination of the resected pancreatic mass revealed a fungal collection.
- Inflammatory cells were present, but no evidence of malignancy was found.
- The patient's symptoms resolved post-operatively.
Implications:
- This case highlights that pancreatic fungal infections can occur without typical predisposing factors.
- It underscores the importance of considering fungal infection in the differential diagnosis of pancreatic masses.
- Surgical management can be effective for treating pancreatic fungal collections.
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