Korean J Gastroenterol.  2021 Jan;77(1):45-49. 10.4166/kjg.2020.155.

Primary Pancreatic Candidiasis Mimicking Pancreatic Cancer in an Immunocompetent Patient

  • 1Departments of Internal Medicine, Chungbuk National University Hospital, Cheongju, Korea
  • 2Departments of Pathology, Chungbuk National University Hospital, Cheongju, Korea
  • 3Departments of Surgery, Chungbuk National University Hospital, Cheongju, Korea


Pancreatic candidiasis can develop in patients with acute pancreatitis, compromised immune responses, or iatrogenic intervention. This paper reports a case of pancreatic candidiasis presenting as a solid pancreatic mass in a patient without the risk factors. A previously healthy 37-year-old man visited the emergency department with left flank pain. Abdominal CT revealed a 5 cm, irregular heterogeneous enhancing mass accompanied by a left adrenal mass. Positron emission tomography-computed tomography and endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) could not discriminate pancreatic cancer from infectious disease. A laparoscopic exploration was performed for an accurate diagnosis. After distal pancreatectomy with splenectomy and left adrenalectomy, pancreatic candidiasis and adrenal cortical adenoma were diagnosed based on the pathology findings. His condition improved after the treatment with fluconazole. This paper reports a case of primary pancreatic candidiasis mimicking pancreatic cancer in an immunocompetent patient with a review of the relevant literature.


Pancreas; Candida; Immunocompetence
Full Text Links
  • KJG
export Copy
  • Twitter
  • Facebook
Similar articles
    DB Error: unknown error