PMC8679654_01
Computed tomography of the abdomen demonstrated a 7.3 x 11.7 x 14.9-cm cystic mass originating from the greater curve of the stomach and reaching the dome of the bladder
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Fig1
This study showed a large cystic lesion in the left hemiabdomen, measuring 7.3 x 11.7 x 14.9 cm, which extended from the greater curvature of the stomach to the dome of the bladder (Fig. 1).
After being freed from the omentum laterally and inferiorly, the cyst was reflected cephalad. Note the adherence of the cyst to the transverse colon. The superior origin of the cyst was followed into the lesser sac, where it was intimately associated with the tail of the pancreas
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Fig2
The superior-most attachment of the cyst was then explored (Fig. 2).
After careful separation from the tail of the pancreas, the cyst was removed intact and sent to pathology
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Fig3
The cyst was then removed intact from the patient's abdomen and placed on the back table (Fig. 3).
Serous fluid aspirated from cyst
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Fig4
Off the surgical field, fluid from the cyst was aspirated and sent for amylase, lipase, and triglycerides (Fig. 4).