Gut 60:1086 doi:10.1136/gut.2009.190777
  • Editor's quiz: GI snapshot

An obscure mass in the head of the pancreas of an adolescent

  1. Cheng-wei Tang
  1. Department of Gastroenterology, West China Hospital, Sichuan University, Chengdu, PR China
  1. Correspondence to Professor Cheng-wei Tang, Department of Gastroenterology, West China Hospital, Sichuan University, Guoxue Lane 37, Chengdu 610041, PR China; cwtang{at}

Clinical presentation

An 18-year-old male student presented with epigastric pain of 10 days duration. The symptoms were moderate and continuous but without radiation. The pain was aggravated by food and lying on his back. The patient denied a history of exposure to tuberculosis and any other medical or surgical history. There had been no weight loss or fever prior to the presentation. Physical examination was normal. Chest and abdominal x-ray showed no evidence of abnormality. Both abdominal CT and MRI confirmed a 3.5 cm round mass with enhancement in the pancreatic uncinate process, compressing the inferior vena cava medially …

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