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Arch Surg. 2006;141:420.

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Answer: Calcified Pancreatic Pseudocyst

There were 2 large calcified pseudocysts, 1 at the pancreatic head and 1 at the pancreatic tail. The calcified pseudocyst at the pancreatic tail was so heavily calcified that it could be seen on plain film x-ray. After admission to our unit, the patient's pain subsided and he subsequently signed himself out against medical advice. He came back to our unit a couple of months later and had another computed tomographic scan, which revealed a persistent, large pseudocyst at the pancreatic tail, but the pseudocyst at the pancreatic head had largely resolved. We performed endoscopic, ultrasound-guided cystogastrostomy. He was symptom free for 4 months afterwards. There was no evidence of recurrent pseudocyst on follow-up ultrasound examination.

Extensive calcification of a pancreatic pseudocyst to the extent that it is visible on plain abdominal x-ray is rare.^1-3 Differential diagnoses of such calcified lesions include tumors, cysts, hematomas, and abscesses, which arise from . . . [Full Text of this Article]

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Arch Surg. 2006;141(4):419.
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