Pancreatic pseudocyst

Case contributed by Ammar Haouimi


Three weeks history of epigastric pain. The ultrasound showed a cystic mass.

Patient Data

Age: 20 years
Gender: Female

Large well-circumscribed cystic lesion centered on the pancreatic body with well-defined enhanced wall and fluid content of low signal on T1 high signal on T2 and T2 fat sat with dependent debris of low signal well-demonstrated on T2 and FIESTA sequences.

Small gallstones are noted. Normal appearance of the intra-and extrabiliary ducts.

The splenic vein is compressed with splenomegaly (16.5 cm), gastric varices, and small splenorenal collaterals, indicating probably sinistral portal hypertension.

Case Discussion

The clinical presentation and the MRI features are most consistent with a pancreatic pseudocyst.

Pancreatic pseudocyst is considered the most common cystic lesion of the pancreas which may develop following acute pancreatitis or chronic pancreatitis,

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