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A calcified and cystic peripancreatic mass
  1. S Bageacu,
  2. D Kaczmarek
  1. Department of General Surgery, University Hospital of Saint-Etienne, Hôpital Nord, Saint-Etienne, France
  1. Correspondence to:
    Dr S Bageacu
    Department of General Surgery, University Hospital of Saint-Etienne, Hôpital Nord 42055 Saint-Etienne Cedex 2, France; serban.bageacuchu-st-etienne.fr

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Clinical presentation

A 33 year old woman with no previous medical history presented with acute epigastric pain and nausea. Her physical examination was essentially unremarkable. Chest x ray and urgent blood investigations were normal, including serum amylase, lipase, and hepatic enzymes. Abdominal ultrasound was performed and calcified masses was found anterior to the pancreas. An abdominal computed tomography scan was requested (fig 1). After surgical resection, histopathological examination was performed (fig 2).

Figure 1

 Computed tomography scan of the abdomen showing a cystic calcified mass.

Figure 2

 Histopathological specimen showing the muscular layer in the right upper side and bone tissue in the left lower side (orange).

Question

What is the diagnosis?

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Footnotes

  • Robin Spiller, editor

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