Case 35-2003: A 75-Year-Old Man with a Cystic Lesion of the Pancreas

Presentation of Case A 75-year-old man was evaluated in the clinic because of a cystic lesion of the pancreas. For several years he had had gastroesophageal reflux, which was alleviated by pantoprazole. He continued to have intermittent, mild, vague upper abdominal pain with possible early satiety. The pain did not radiate to the back. He had not lost weight. An ultrasonographic examination performed at another hospital four months before admission showed a hyperechoic mass, 2.9 cm in diameter, in the right hepatic lobe that was eventually determined to be a hemangioma, as well as multiple hepatic cysts. Computed tomographic (CT) . . .