Introduction: Pancreatic lymphoepithelial cyst is a rare benign lesion that usually presents itself as an incidental radiological finding. Symptoms mayinclude abdominal pain, weight loss, nausea or compression of adjacent structures. The differential diagnosis includes most of the pancreatic cystic lesions, even benign or malignant tumours. In most cases, for the final diagnosis, fine needle aspiration or surgery can be required.  Case Report: We report a case of a giant pancreatic lymphoepithelial cyst in a 43-year-old man with abdominal pain and weight loss. In this case, radical surgery wasconsidered a too difficult procedure and due to benignity of the tumour, conservative resection was elected.  Conclusion: Surgery can be the final diagnosis test in case of pancreatic lymphoepithelial cyst due to diagnostic uncertainty. Conservative resection can be a good option in case of complex resection, with a low rate of postoperative complications and without risk of tumoural degeneration.

Author(s) Details

Mario Serradilla Martín,
Department of Surgery, Miguel Servet University Hospital, Zaragoza, Spain

José Manuel Ramia Ángel,
Department of Surgery, University Hospital of Guadalajara, Guadalajara, Spain.

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