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HPB Surgery
Volume 2008 (2008), Article ID 374602, 3 pages
http://dx.doi.org/10.1155/2008/374602
Case Report

Pancreatic Mass with an Unusual Pathology: A Case Report

Division of Surgery, Oncology, Reproductive Biology and Anaesthetics, Imperial College of Science, Technology, and Medicine, Hammersmith Hospital Campus, Du Cane Road, London W12 0NN, UK

Received 12 June 2007; Accepted 10 April 2008

Academic Editor: Hobart Harris

Copyright © 2008 Andrew J. Healey et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Intra-abdominal abscesses formation in patients with no preceding symptoms is rare. Infection of the pancreas occurs in 5–9% of patients with acute pancreatitis, more commonly as a complication of necrotising or severe pancreatitis. We have reported a case of a 64-year-old almost entirely asymptomatic man who underwent a Whipple's procedure following extensive investigation of a pancreatic mass. The pathology and histology showed no evidence of malignancy, and instead a true pancreatic abscess, centred around an impacted cholesterol calculus in the distal CBD. Of suspicious pancreatic masses that are resected, chronic choledocholithiasis is the aetiology in less than 5% of nonmalignant or “false positives.” This report describes such a case.