Massive pancreas pseudocyst

Case contributed by Michael P Hartung
Diagnosis almost certain

Presentation

Abdominal discomfort, history of pancreatitis.

Patient Data

Age: 35 years
Gender: Male
ct

Medium ascites. Relatively normal appearance of the pancreas posterior to the cyst. Massive, thick-walled organized cyst along the inferior curvature of the stomach, indenting and perhaps invading through the serosa. No other collections. 

Case Discussion

Sequelae of interstitial pancreatitis with the development of a massive pseudocyst intimately associated with the stomach. This would be well-managed with a cystogastrostomy. Notice how the pancreas is currently normal. 

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