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Pancreatic lipoma

Case contributed by Abdulmajid Bawazeer
Diagnosis almost certain

Presentation

Right lower abdominal pain

Patient Data

Age: 40 years
Gender: Female
ct

Well defined fat density mass lesion occupying most of the pancreatic head and uncinate process with no perceptible enhancement, calcification or fat stranding,

The appendix is fluid-filled and distended surrounded by fat stranding and free fluid, in keeping with acute appendicitis (on the coronal images).

Case Discussion

Pancreatic lipoma are mostly asymptomatic and incidentally found as in our case.

Appendicitis was the definitive diagnosis as the radiological findings and the clinical suspicion was pointing to appendicitis.

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