Painless Jaundice

SYB January 31, 2008

Julianne Lauring

64 y.o. male with painless jaundice

Hepatic Bile Duct Dilation

Enlarged Gallbladder

Dilated Common Bile Duct

Pancreatic Mass

Pancreatic Mass

Dilated Bile Ducts

Dilated CBD

Enlarged Gallbladder

Classification of Cystic Pancreatic Lesions

• Pseudocyst• Common cystic pancreatic neoplasms

• Serous cystadenoma• Mucinous cystic neoplasm• IPMN

• Rare cystic pancreatic neoplasms• Solid pseudopapillary tumor• Acinar cell cystadenocarcinoma• Lymphangioma• Hemangioma• Paraganglioma

• Solid pancreatic lesions with cystic degeneration• Pancreatic adenocarcinoma• Cystic islet cell tumor (insulinoma, glucagonoma,gastrinoma)• Metastasis• Cystic teratoma• Sarcoma

• True epithelial cysts

References

Sahani et al. “Cystic Pancreatic Lesions: A Simple Imaging-based Classification System for Guiding Management” Radiographics. 25(6): 1471- 1484.