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OpenAthens Shibboleth
Special Feature
April 1, 2006

Image of the Month—Quiz Case

Author Affiliations



Copyright 2006 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.2006

Arch Surg. 2006;141(4):419. doi:10.1001/archsurg.141.4.419

A 34-year-old man presented with a 1-week history of epigastric pain. There was no associated fever, chills, or jaundice. There were no bowel symptoms or weight loss. The patient history revealed that an exploratory laparotomy for abdominal trauma had been performed 15 years ago. He remained well afterwards. On physical examination, a 10-cm firm mass was found at the epigastric region. All blood test results were normal except that the serum amylase level had increased mildly (219 U/L). A plain film abdominal x-ray (Figure 1), and subsequently, a computed tomographic scan (Figure 2) were taken.

Figure 1.
Image not available

Abdominal x-ray film showing a calcified lesion.

Figure 2.
Image not available

Computed tomographic scan of abdomen revealing 2 calcified lesions.

What Is the Diagnosis?

A. Hydatid cyst of the pancreas

B. Calcified pancreatic pseudocyst

C. Calcified mesenteric cyst

D. Pancreatic cystic neoplasm