RT Journal
A1 Echenique-Elizondo M
T1 IMage of the month—quiz case
JF Archives of Surgery
JO Archives of Surgery
YR 2003
FD October 1
VO 138
IS 10
SP 1157
OP 1157
DO 10.1001/archsurg.138.10.1157
UL http://dx.doi.org/10.1001/archsurg.138.10.1157
AB 
A 57-year-old woman had symptoms of epigastric fullness and a palpable mass. A computed tomographic (CT) scan showed a well-defined pancreatic tumor localized in the body (Figure 1). The patient was scheduled for surgery. At celiotomy, a large capsulated pancreatic tumor was identified, and a distal near-total pancreatectomy with splenectomy was performed (Figure 2). The patient recovered uneventfully and is free of disease 8 years later. Results of a glucose tolerance test are within normal limits despite extended pancreatic resection.