A 55yearold man was hospitalized for evaluation of cystic lesion at the pancreas tail (Figure 1). The presumed diagnosis of the pancreatic cyst was pseudocyst because it was a unilocular cyst with debris inside, and the patient was a chronic alcoholic with a recent history of acute pancreatitis. Since the patient had no symptom related with the cyst, he was followed up with alternative CT scan ...

Background/Aims The objective of this study was to investigate the value of cyst fluid carcinoembryonic antigen (CEA) in combination with cytology and viscosity for the differential diagnosis of pancreatic cysts. Methods We retrospectively reviewed our data for patients who underwent endoscopic ultrasound-guided fine needle aspiration (EUS-FNA) and cyst fluid analysis. We investigated the sen...

Pancreatic cysts include a variety of benign, premalignant, and malignant lesions. Endometrial cysts in the pancreas are exceedingly rare lesions that are difficult to diagnose pre-operatively. This report describes the findings in a 43-year-old patient with a recent episode of acute pancreatitis who presented with a large cyst in the tail of the pancreas. Imaging demonstrated a loculated pancr...

Rupture of pancreatic pseudocyst is one of the rare complications and usually results in high mortality. The present case was a rupture of pancreatic pseudocyst that could be treated by surgical intervention. A 74-year-old man developed abdominal pain, vomiting, and diarrhea, and he was diagnosed with cholecystitis and pneumonia. Three days later, acute pancreatitis occurred and computed tomogr...

of > 1000 U/ml in pancreas cyst fluid is considered almost pathognomonic for a mucinous cystic neoplasm. A 32−year−old woman underwent abdominal computed tomography (CT) for evaluation of right upper quadrant pain, which revealed a 10−mm pancreatic tail cyst (l" Fig. 1a, b). The sharply demarcated cyst without septation did not communicate with the pancreatic duct. Follow−up CT, 4 months later,...

CONTEXT Hydatid cyst disease can occur in all viscera and soft tissues although the liver and the lungs are the most commonly involved organs. Pancreatic and breast involvement with the disease are extremely rare and the presence of this disease in these organs without any other organ involvement has not been previously reported. CASE REPORT We present herein a patient with isolated pancreati...

Enteric duplication is an ectopic cyst or a tubular structure composed of smooth muscles surrounding mucosa of the gastrointestinal tract (1). Most cases of duplication are present before the age of 2 years as an acute abdomen or bowel obstruction (2). Diagnosis of duplication cyst is uncommon in adults, and enteric duplication within the pancreas is especially uncommon and difficult to diagnos...

Pancreatic cysts include inflammatory pseudocysts, cystic tumors (serous and mucinous), and various rare cystic lesions. We report a case of a ciliated enteric duplication cyst that presented on computed tomographic scan as a pancreatic cystic neoplasm. Cyst fluid analysis revealed markedly increased concentrations of carcinoembryonic antigen and CA 125 and increased fluid viscosity. These feat...

Incidental pancreatic cysts are being increasingly recognized recently with incremented concern about health and frequent health check-up. Endoscopic ultrasound (EUS) has emerged as the principal modality for imaging pancreas for various pancreatic diseases including pancreatic cyst. But imaging alone cannot accurately identify the exact nature of the pancreatic cyst. EUS-guided fine needle asp...

Background:Management guidelines for pancreatic intraductal papillary mucinous neoplasms (IPMN) andmucinous cystic neoplasms (MCN) are based on the assumption that mucinous cysts can be accurately distinguished from other pancreatic cystic lesions. Previous studies using surgical material have identified recurrent mutations in GNAS and KRAS in pancreatic mucinous neoplasms. Yet, the diagnostic ...