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Special Feature |

Image of the Month—Quiz Case FREE

Kit Fai Lee, FRCSEd; Chris Kam Wing Yau, MBBS, MRCSEd; Paul Bo San Lai, FRCSEd, MD
[+] Author Affiliations

Section Editor: Grace S. Rozycki, MD


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

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.

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Figure 1.

Abdominal x-ray film showing a calcified lesion.

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Figure 2.

Computed tomographic scan of abdomen revealing 2 calcified lesions.

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WHAT IS THE DIAGNOSIS?

A. Hydatid cyst of the pancreas

B. Calcified pancreatic pseudocyst

C. Calcified mesenteric cyst

D. Pancreatic cystic neoplasm

Figures

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Figure 1.

Abdominal x-ray film showing a calcified lesion.

Graphic Jump Location
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Figure 2.

Computed tomographic scan of abdomen revealing 2 calcified lesions.

Graphic Jump Location

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The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
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