PMC4995534_01
Abdominal Ultrasonography a cystic structure in the body and tail region of pancreas approximately 5.6 x 5.7 cm in size (White arrows). No mass lesion was noted.
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PMC4995534_01_gr1.jpg
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No mass lesion was noted. (Fig. 1) Contrast enhanced CT abdomen noted well defined round to oval cystic lesion of size approximately 55 x 57 mm noted in the epigastric region near pancreatic body causing compression over adjacent stomach and pancreatic parenchyma with minimal adjacent fat stranding with well-defined peripherally enhancing margins. (Fig. 2) Pancreas distal to the lesion was atrophic with prominence of Main pancreatic duct proximal to it.
(A) Axial section (B) Coronal section of Contrast enhanced CT abdomen showing well defined round to oval cystic lesion of size approximately 55 x 57 mm noted in the epigastric region near pancreatic body causing compression over adjacent stomach and pancreatic parenchyma with minimal adjacent fat stranding with well-defined peripherally enhancing margins. (White arrows).
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PMC4995534_01_gr2.jpg
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No mass lesion was noted. (Fig. 1) Contrast enhanced CT abdomen noted well defined round to oval cystic lesion of size approximately 55 x 57 mm noted in the epigastric region near pancreatic body causing compression over adjacent stomach and pancreatic parenchyma with minimal adjacent fat stranding with well-defined peripherally enhancing margins. (Fig. 2) Pancreas distal to the lesion was atrophic with prominence of Main pancreatic duct proximal to it.
Perioperative photograph showing (A) The cyst has been opened after irrigating it with scolicidal agent and evacuating the contents. (B) The germinal membrane is being removed.. c: ectocyst; g: germinal membrane; p: pancreatic parenchyma
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PMC4995534_01_gr3.jpg
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The cyst was opened and germinal membrane was found. (Fig. 3) The cyst was injected with a scolicidal agent, 0.5% Cetrimide solution and the contents evacuated after packing the operative field with Cetrimide soaked sponges.