A 54-year-old woman with a history of a cholecystectomy, presented to her primary care physician for ten days of diffuse abdominal pain, especially in the epigastric region. The pain was intermittent, frequently associated with food, and radiated to her back. She occasionally felt relief with an antacid. Associated symptoms included anorexia, malaise, nausea and bloating. The patient denied any association with drinking alcohol. She denied any weight loss, fever/chills, emesis, shortness of breath, chest pain, change in bowel habits, or urinary symptoms. She denied having similar symptoms in the past, any association with position, history of acid reflux, or regurgitation of sour material.
Abdominal CT scan showing pancreatic tumor (link)
CT scan of the abdomen and pelvis done on admission. The abdominal CT scan showed a 2.5 x 2 cm hypodense pancreatic head mass most likely representing carcinoma, with secondary intrahepatic bile duct (1 cm), common bile duct (1.5 cm), and pancreatic ductal (3.7 mm) dilatation. No stones or calcifications were seen. No surrounding inflammatory changes or lymphadenopathy was reported. There were multiple liver hypodensities present, possibly representing cysts or metastatic lesions.
Diagnosis likely Pancreatic carcinomaOther similar posts