Presentation
Abdominal pain and palpable mass on physical exam; history of recent cholecystectomy and pancreatitis.
Patient Data
Inhomogeneously, the hepatic attenuation value is less than of the spleen, suggesting uneven fatty liver.
The gallbladder is not seen at anatomical location due to prior resection. A 72 x 40 mm fluid accumulation is present in surgical bed could be suggestive for biloma.
A 125 x 100 x 105 mm cystic lesion with few fine internal septations are seen at pancreatic head. No calcification or enhancing solid component are noted within. Regarding to patient history, pancreatic pseudocyst is most likely diagnosis.
Case Discussion
Pancreatic pseudocysts are common sequelae of acute pancreatitis or chronic pancreatitis, and the most common cystic lesion of the pancreas. They are important both in terms of management and differentiation from other cystic processes or masses in this region.
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