Mucinous cystadenoma of the pancreas

Case contributed by Ammar Ashraf
Diagnosis certain

Presentation

Epigastric pain and swelling 1 year. No vomiting, weight loss or change in bowel habits.

Patient Data

Age: 35 years
Gender: Female
ultrasound

A large well-defined cyst containing turbid contents and multiple thin septations, measuring 13 x 15 cm, likely arising from the tail of the pancreas, is seen in the epigastric region. No solid component or significant internal vascularity is appreciable in it. 

Homogeneous well-defined cystic lesion measuring 14.5 x 14.5 cm, arising from the pancreatic tail displacing the adjacent structures. Thin enhancing wall, multiple thin septae and a few tiny peripheral calcifications are seen in it. No solid component is seen. Bulky postpartum uterus. 

Impression: Large homogeneous well-defined pancreatic tail cystic lesion, which is likely a mucinous cystadenoma; other possible differential can be a pancreatic pseudocyst if there is any history of pancreatitis. 

Case Discussion

Procedure: Distal pancreatectomy and splenectomy.

Gross Description: The pancreatic cystic lesion measures 16 x 14 x 13 cm and weighs 161 grams.

Diagnosis: Mucinous cystadenoma of the pancreas, measuring 16 cm.  

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