60 year old lady. 

Presented with 3-month history of abdominal distention and post-prandial fullness with associated nausea and vomiting. Palpable mass in the epigastrium. 

CT/MRCP demonstrate pancreatic mass with partial gastric obstruction. 

CEA: 2.3 (normal) and CA 19.9: 180 (high). 

Underwent endoscopic ultrasound and biopsy which confirmed mucinous cystic neoplasm.