Abstract
A 20-year-old female patient with no significant medical history was referred to us for a large pancreatic mass with a 3-month history of worsening back pain radiating to the epigastrium. She also developed postprandial emesis, early satiety, persistent belching, fatigue, and a 40-pound unintentional weight loss. On exam, her hemodynamic parameters and the abdominal exam were unremarkable. Laboratory values, including blood count, chemistry, and liver function test, were unremarkable except for an elevated carcinoembryonic antigen (31.5 ng/mL).
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