Intraductal papillary mucinous neoplasms (IPMN)

Case contributed by Mohammed A. S. Barakat
Diagnosis probable

Presentation

Abdominal discomfort. Previous CT with a hypodense pancreatic lesion.

Patient Data

Age: 55 years
Gender: Female

There is a lobulated cystic pancreatic body lesion, measuring around 2 x 2 x 2.5 cm, communicating with the main pancreatic duct. It gives the appearance of bunch of grapes.

These features are intraductal papillary mucinous neoplasm (IPMN) - branch duct type.

The main pancreatic duct is not dilated.

Case Discussion

The characteristic appearance of an intraductal papillary mucinous neoplasm (IPMN) - branch duct type) in this case visible as a cystic lesion of the pancreatic body, communicating with the main pancreatic duct. The pancreatic parenchyma is normal - no evidence of chronic pancreatitis, otherwise a pseudocyst should be considered.

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