Abstract
Department of Surgery, University Hospital Maastricht, Maastricht, The Netherlands.
BACKGROUND: Report on a case of incorrect diagnosis after laparoscopy and peritoneal fluid sampling. METHODS: Case description and literature review. RESULTS: Diagnostic laparoscopy is a frequently used tool. In a patient with chronic abdominal pain, a diagnostic laparoscopy was performed, and a peritoneal fluid sample was taken. Cytology of the aspirated peritoneal fluid revealed an adenocarcinoma. At laparotomy, ectopic pancreas was found as the source of the false-positive cytology. CONCLUSION: In the diagnosis of adenocarcinomas from peritoneal fluid aspirates without an obvious clinical location (tumor), ectopic pancreatic tissue should be considered in the differential diagnosis.
BACKGROUND: Report on a case of incorrect diagnosis after laparoscopy and peritoneal fluid sampling. METHODS: Case description and literature review. RESULTS: Diagnostic laparoscopy is a frequently used tool. In a patient with chronic abdominal pain, a diagnostic laparoscopy was performed, and a peritoneal fluid sample was taken. Cytology of the aspirated peritoneal fluid revealed an adenocarcinoma. At laparotomy, ectopic pancreas was found as the source of the false-positive cytology. CONCLUSION: In the diagnosis of adenocarcinomas from peritoneal fluid aspirates without an obvious clinical location (tumor), ectopic pancreatic tissue should be considered in the differential diagnosis.
Original language | English |
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Pages (from-to) | 434-436 |
Number of pages | 3 |
Journal | Digestive Surgery |
Volume | 16 |
Issue number | 5 |
DOIs | |
Publication status | Published - 1 Jan 1999 |