Legend:
Figure 1: A) a CT scan sagittal view with I/V & oral contrast showing huge heterogenous hypodense mass originating from the pancreas, the body and the tail is replaced by the mass reported as: measuring 23 cm in craniocaudal, 15 in transverse plan and 11 cm in anteroposterior plan. B) Coronal section demonstrates the pancreatic mass compressing the left kidney. No evidence of intraabdominal or pelvic lymph node enlargement.
Figure 2: Intraoperative photo demonstrates the gross specimen including the distal pancreas, spleen, part of the transvers colon, and the adrenal gland. B). The cut surface is whirly homogenous tan to pink to white reaching spleen capsule but not invading it.
Figure 3: histopathology showing. A). Interaabdominal Fibromatosis
All surgical resection margins are free of tumor size 26 x 17 x 9 cm.
B). Immunohistochemical staining of the tumor showing positive satin for anti-beta-catenin x400.