Abstract
A 77-year-old woman presented with her third episode of acute pancreatitis. Serum CA 19-9 was markedly elevated: 608 U/L (reference range <43 U/L). Branch duct type intraductal pancreatic mucinous neoplasms were suspected, owing to the appearance of multiple cystic lesions communicating with the dilatated pancreatic duct on magnetic resonance imaging. EUS confirmed a communication between the multilocular cysts and the dilatated duct of Santorini (A), but no communication between the ducts of Santorini and Wirsung was observed.
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