The prevalence of pancreatic incidentalomas in patients undergoing surveillance for abdominal aortic aneurysms. Am J Surg 2021 Nov;222(5):892-896
Date
08/09/2021Pubmed ID
34364656DOI
10.1016/j.amjsurg.2021.07.049Scopus ID
2-s2.0-85111845013 (requires institutional sign-in at Scopus site) 3 CitationsAbstract
BACKGROUND: Serial imaging in patients with aortic aneurysms may identify non-vascular disease. However, the prevalence and clinical history of pancreatic incidentalomas in this population is unknown.
METHODS: Retrospective cross-sectional study of adults who underwent computed tomography angiography (CTA) surveillance imaging for abdominal or thoracoabdominal aortic aneurysm at a single academic institution between 2015 and 2020. Descriptive statistics were used for patients with pancreatic lesions.
RESULTS: Of 249 patients, 18 (7.2 %) had a pancreatic incidentaloma. Compared to patients without a lesion, those with a lesion were more likely female (50.0 % vs 24.2 %, p = 0.02) and less likely a smoker (72.2 % vs 90.0 %, p = 0.02). 3 patients with pancreatic lesions underwent intervention, and 1 patient received additional imaging. 2 patients had a surgical oncology referral.
CONCLUSIONS: Pancreatic incidentalomas are common in patients with aortic aneurysm, but lesion characteristics and management vary. Results suggest that a multi-disciplinary approach, thorough documentation, and referral to pancreatic specialists may be warranted.
Author List
Portelli Tremont JN, Jadi J, Pham V, Kim HJ, Maduekwe UNAuthor
Ugwuji N. Maduekwe MD Associate Dean, Associate Professor in the Surgery department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
AgedAged, 80 and over
Aortic Aneurysm, Abdominal
Computed Tomography Angiography
Cross-Sectional Studies
Female
Humans
Incidental Findings
Male
Pancreatic Neoplasms
Prevalence
Retrospective Studies
Risk Factors
