Abstract
Cystic tumors of the pancreas are rare neoplasms. These tumors are frequently detected incidentally and a definitive preoperative diagnosis remains challenging. Because of widespread use of high quality cross-sectional imaging, pancreatic cystic neoplasms are being diagnosed with increasing frequency. This heterogeneous group of tumors is important because of their high cure rate as well as frequent confusion with the commoner pancreatic pseudocyst. We present a 69-year-old man with vague abdominal pain and loose motion for 3 months. Firstly, this case was misdiagnosed radiologically as pancreatitis with infected pseudocyst. From endoscopic diagnosis, pancreatico-gastrostomy fistula was found and biopsy taken from cyst wall. Histology report showed mucinous adenocarcinoma of pancreas. This was managed by excision of tumor and partial gastrectomy and local resection of transverse colon. It is rare but real presentation of pancreatic cystic tumor.
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