Case 136: intraductal papillary mucinous tumor (main duct type) of the pancreas.

Ana M. Ferreira, MD Ana Vaz, MD Morgado Viana, MD Paulo Gil-Agostinho, MD Filipe Caseiro-Alves, PhD History A 57-year-old man presented with a 3-month history of abdominal pain. Physical examination revealed a large firm palpable mass in the epigastric region. There was no history of alcoholism, trauma, or previous pancreatitis. Laboratory findings were unremarkable. The patient underwent abdominal upright radiography, upper gastrointestinal barium examination, abdominal ultrasonography (US), and abdominal computed tomography (CT).