Case Presentation:
A young man came to our hospital with presenting complaint of epigastric
pain for few days. Urgent ultrasound abdomen was performed which
reported it a pancreatic cyst. The pain was relieved by pain killers.
The radiology team was taken on board and CT pancreas dynamic was
advised. CT pancreas dynamic was performed with images obtained in
noncontract, arterial, venous, and delayed venous phases. The rest of
the abdomen and pelvis were reviewed in the venous phase. There was a
multilocular and multiseptated homogeneously
hypoattenuating/nonenhancing fluid density omento-mesenteric mass
predominantly occupying the lesser sac. The lesion was insinuating
within the pancreatic body and tail parenchyma as well as along the
small bowel mesentery with mild mass effect on the stomach which is
anteriorly compressed. It was abutting the left adrenal gland, which was
however normal. The pancreatic head and uncinate process appeared
normal. It was causing displacement of the small bowel loops and
surrounding the transverse colon and splenic flexure. Suspicion of
lymphangioma was given on it.