Evidence map›Paper›PMID 41626239›Full record

ArticleJournal of surgical case reports2026

Multinodular cystic pancreatic acinar cell carcinoma presenting as a splenic hilum cyst with peritoneal carcinomatosis: a case report.

Mohammad Kheir Chahine, Amira Hamou, Dima E Hajj, Layan Ghraizi, Ribal Houmani, Ghassan Nabbout, Raja Wakim

Abstract readCase Reports
In one paragraph

Article in Journal of surgical case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Mohammad Kheir ChahineDepartment of Biomedical Sciences, Faculty of Medicine and Medical Sciences, University of Balamand, PO Box 100, Al-Koura, Tripoli, Lebanon.
Amira HamouDepartment of Biomedical Sciences, Faculty of Medicine and Medical Sciences, University of Balamand, PO Box 100, Al-Koura, Tripoli, Lebanon.
Dima E HajjDepartment of Biomedical Sciences, Faculty of Medicine and Medical Sciences, University of Balamand, PO Box 100, Al-Koura, Tripoli, Lebanon.
Layan GhraiziDepartment of Biomedical Sciences, Faculty of Medicine and Medical Sciences, University of Balamand, PO Box 100, Al-Koura, Tripoli, Lebanon.
Ribal HoumaniDepartment of Biomedical Sciences, Faculty of Medicine and Medical Sciences, University of Balamand, PO Box 100, Al-Koura, Tripoli, Lebanon.
Ghassan NabboutDepartment of Biomedical Sciences, Faculty of Medicine and Medical Sciences, University of Balamand, PO Box 100, Al-Koura, Tripoli, Lebanon.ORCID https://orcid.org/0000-0001-7153-2424
Raja WakimDepartment of General Surgery, Mount Lebanon Hospital, Michel Gharios Street, PO BOX 470- Beirut, Lebanon.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pancreatic acinar cell carcinoma (PACC) is a rare malignancy accounting for 0.2%-4.3% of pancreatic tumours, typically affecting older men. Cystic variants are exceptionally uncommon and often mimic benign pancreatic lesions, posing diagnostic challenges. We report a 37-year-old woman who was incidentally found to have a large multiseptated lesion involving the pancreas, spleen, and retroperitoneal structures. Surgical exploration demonstrated multiple peritoneal and hepatic nodules. Distal pancreatectomy, splenectomy, omentectomy, and resection of hepatic lesions were performed. Histopathology confirmed poorly differentiated pancreatic acinar cell carcinoma with extensive peritoneal metastases. Postoperative recovery was uneventful. This case highlights a rare cystic presentation of PACC in an atypical demographic. Clinicians should maintain a high index of suspicion for rare pancreatic malignancies in the differential diagnosis of complex cystic abdominal lesions.

Indexed as

cystic pancreatic tumourdistal pancreatectomyomentectomypancreatic acinar cell carcinomaperitoneal carcinomatosissplenectomy

Identifiers

PMID41626239
PMCPMC12856946

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.