Abstract
Question: A 79-year-old asymptomatic man formerly diagnosed with branch duct (BD) type intraductal pancreatic mucinous neoplasms (IPMNs) was admitted owing to the appearance of a mural nodule in one of the IPMNs on abdominal ultrasound examination. Serum levels of carcinoembryonic antigen and carbohydrate antigen 19-9 were normal. An abdominal contrast-enhanced computed tomography scan detected 2 cysts and 1 cyst in the pancreas body and head, respectively. These cystic lesions were visualized by magnetic resonance cholangiopancreatography as multilocular cysts connected with the main pancreatic duct and were thus diagnosed as BD-type IPMNs (Figure A).
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