Sometimes You Have to Judge a Book by Its Cover: The Case of a Masquerading Pancreatic Mucinous Cyst. Issue 4 (27th April 2021)

• Record Type: Journal Article
• Authors: Miller, John; Agostini-Vulaj, Diana; Howard, Victoria; Schoeniger, Luke; Kothari, Truptesh
• Is Part Of: ACG Case Reports Journal. Volume 8:Issue 4(2021)
• Page Start: e00554
• Publication Date: 2021-04-27
• DOI: 10.14309/crj.0000000000000554
• Languages: English
• ISSNs: 2326-3253

Abstract

ABSTRACT: Pancreatic cystic lesions are difficult to evaluate amid acute pancreatitis. Without previous pancreatic imaging, it is challenging to discern between pancreatic acute fluid collections and cystic neoplasms. We present a 29-year-old woman with acute pancreatitis and initial cross-sectional imaging suggesting a 2.8-cm cystic lesion in the body/tail of the pancreas. Endoscopic ultrasound completed 5 weeks after index presentation revealed findings worrisome for a cystic neoplasm, but fine-needle aspiration findings suggested lesion to be a pseudocyst (normal carcinoembryonic antigen and cytology, negative mucin stain).