To the Editor: Distal pancreatectomy is one of the most commonly performed procedures for tumors involving the neck and body of the pancreas
. Left-sided pancreatic resection reduces pancreatic function and is associated with an increased incidence of diabetes mellitus.
A 20 mm x 19 mm lesion was seen in the pancreatic head and neck region, and the main pancreatic duct was slightly dilated in the body of the pancreas
. Moreover, the common bile duct (CBD) was distally thickened and contained sludge.
If there is just bruising to the body of the pancreas
, then nonoperative management is possible.
Ultrasonography of the abdomen clearly showed the lower margin of the cyst merging with the irregular body of the pancreas
with the main pancreatic duct traversing the cyst (Figure 2a, b); meanwhile the serum amylase and lipase levels were also significantly elevated correlating with evidence of acute pancreatitis in recent past (Table 1).
While these cells containing GATA4 are located in the end portions of the pancreatic bud, the cells containing GATA4 and SOX9 settle in the body of the pancreas
EUS revealed a dumbbellshaped mass in the body of the pancreas
. Histopathologic examination of the biopsy specimen showed necrotic tissue and tumor cells with highly atypical nuclei (Figure 3(a)), indicating a diagnosis of pancreatic adenocarcinoma.
Heterogeneous nodules were seen related to the posterior margin of the body of the pancreas
. Abdominal CT (Figure 1) showed linear low attenuation within the pancreatic body with mild to moderate intraperitoneal fluid, indicating a pancreatic laceration.
EUS revealed a well-encapsulated, smooth-surfaced, heterogeneous solid lesion at the body of the pancreas
. The lesion measured 24 mm in diameter and contained hypoechoic/ anechoic areas (Figure 1(A)).
In a study by Cho, (8) pancreatic TB was found to be located in the head, tail, and body of the pancreas
in decreasing frequency.
The centrally located body of the pancreas
crosses the midline of the human body, and the tail extends toward the hilum of the spleen.
Large (18.2 X 15.3-cm) multilobulated mass with central necrosis within the left upper abdominal quadrant originating from the tail and body of the pancreas
(magnetic resonance imaging).
Heterotopic pancreas, also known as pancreatic rests, is the presence of pancreatic tissue found outside the normal anatomic position and lacking vascular connection with the body of the pancreas