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  Vol. 142 No. 10, October 2007 TABLE OF CONTENTS
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 •Liver/ Biliary Tract/ Pancreatic Diseases
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Image of the Month—Quiz Case

Satoshi Omori, MD; Yoichi Ishizaki, MD; Seiji Kawasaki, MD

Arch Surg. 2007;142(10):1009.

Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

INTRODUCTION

A 23-year-old woman was referred to our hospital because of microscopic hematuria. Ultrasonographic examination revealed a huge mass in the left upper abdomen, and she was admitted for further evaluation. Results of physical and laboratory examinations were normal. Levels of tumor markers (carcinoembryonic antigen, cancer antigen 19-9, DUPAN 2, elastase I) were all within the normal ranges. A computed tomographic scan revealed a low-density, monolocular cystic lesion measuring 9 x 8 cm between the tail of the pancreas and the hilus of the spleen (Figure 1). Magnetic resonance cholangiopancreatography demonstrated no connection between the tumor and the main pancreatic duct. After celiotomy, the tumor was resected with the adjacent organ. The resected specimen included a cystic lesion measuring 9 x 8.5 cm (Figure 2).


 
Figure appears in full text version.
Figure 1. Computed tomographic scan shows an abnormal space-occupying cystic lesion of the . . . [Full Text of this Article]


What Is the Diagnosis?

Author Affiliations: Department of Hepatobiliary-Pancreatic Surgery, Juntendo University School of Medicine, Tokyo, Japan.


RELATED ARTICLE

Image of the Month—Diagnosis
Arch Surg. 2007;142(10):1010.
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