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August 22, 1977

Pancreatic Retention CystA Cause of Obstructive Jaundice

JAMA. 1977;238(8):889-890. doi:10.1001/jama.1977.03280090053025

PANCREATIC retention cysts have not previously been known to cause obstructive jaundice. Recently, we observed a patient in whom a pancreatic retention cyst, located in the second portion of the duodenum, caused obstruction to bile flow.

Report of a Case  A 54-year-old man was in good health until three weeks before admission, when he noted sharp, nonradiating midepigastric pain accompanied by nausea and emesis. The pain was not relieved by antacids or food. From this time, the patient also noted the appearance of dark urine, light stools, and jaundice. He had no history of alcohol abuse or exposure to hepatitis. He had lost 3.6 kg during the previous month.Physical examination showed a thin, jaundiced man in no severe distress. Abnormal findings were confined to the abdomen, which was soft, but tender to palpation in the midepigastric area and right upper quadrant. The vertical liver span was 14 cm, and