Mucinous cystic lesion of the pancreas

Case contributed by Dr Mohamed Abdel-Tawab Mohamed


Patient has a pancreatic cystic lesion that has been present for four years.

Patient Data

Age: 40
Gender: Female

A well-marginated hypoattenuating pancreatic body lesion arises from the posteroinferior aspect of the pancreatic body. It measures 5.7 x 5.3 x 5.0 cm. It is mainly cystic unilocular with few thin septations and peripheral calcification (seen in the left lateral wall). It compresses the splenic vein displacing it inferiorly, attenuating its lumen with development of mesneteric collaterals draining into the SMV.  Intact splenic artery, although the cystadenoma abuts the lesion. Main pancreatic duct is normal caliber.

Case Discussion

Pancreatic body unilocular cystic tumor, likely a mucinous cystic lesion, abutting the splenic vein with development of portal venous collaterals.

Although mucinous cystic lesions have malignant potential, this case has long stationary history of pancreatic cystic lesion.

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Case information

rID: 57156
Case created: 9th Dec 2017
Last edited: 27th Jan 2018
Inclusion in quiz mode: Included
Institution: Assiut University

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