Intraductal papillary mucinous neoplasm - side branch type

Case contributed by Ian Bickle
Diagnosis almost certain

Presentation

Follow up study of known cystic pancreatic lesion. Stable?

Patient Data

Age: 65 years
Gender: Male

1.8cm multicystic lesion in the head of the pancreas which is connected to pancreatic duct side branch.

Minor side duct ectasia in the neck of the pancreas.

Prominent main pancreatic duct measuring 2mm.

Liver and gallbladder normal in appearance.

Case Discussion

Classical appearances of a side duct IPMT with a multicystic lesion in the shape of a bunch of grapes hanging from its stem.

The vast majority of these lesions when of the side duct type are benign but follow up imaging is required.

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