A 57-year-old man presented with a 16-month history of nonspecific upper abdominal pain and a 15.75-kg weight loss. Workup included magnetic resonance imaging (Figure 1) and intraoperative findings (Figure 2) that demonstrated a small (1.4-cm) hypervascular lesion within the head of the pancreas with marked pancreatic duct dilation.
A. Pancreatic adenocarcinoma
B. Chronic focal pancreatitis
C. Intraductal pancreatic mucinous neoplasm
D. Intraductal neuroendocrine neoplasm
Martin RCG, D’Angelica M, Blumgart LH. Image of the Month—Quiz Case. Arch Surg. 2005;140(3):311-312. doi:10.1001/archsurg.140.3.311