RT Journal A1 Basu A, Sistla S, Iyengar KR T1 IMage of the month JF Archives of Surgery JO Archives of Surgery YR 2009 FD January 19 VO 144 IS 1 SP 89 OP 89 DO 10.1001/archsurg.2008.527-a UL http://dx.doi.org/10.1001/archsurg.2008.527-a AB Laparotomy revealed a 9-cm diameter, freely mobile cystic tumor attached to the pancreatic head by a broad pedicle. No evidence of metastasis to other organs or lymph nodes was identified. Pancreaticoduodenectomy was completed with a curative intent (Figure 1). Cut section revealed a multiloculated cystic tumor containing hemorrhagic fluid and necrotic material. There were no papillary projections inside the cyst (Figure 2). The adjacent pancreatic tissue appeared normal.