To cite: Edlin JC, AlfaWali M, Bond A. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2015209409 DESCRIPTION An 88-year-old woman presented with sudden onset sharp upper abdominal pain associated with anorexia, vomiting and weight loss. Examination revealed a tender palpable mass in the epigastrium without any abnormal blood tests. A CT scan showed a 12 cm cystic...