case_images: PMC3934618_01
case_images: Contrast-enhanced abdominal CT shows the presence of a partially septated giant cystic lesion measuring 20 x 11 x 13 cm in the abdominal cavity.
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case_images: PMC3934618_01_cro-0007-0047-g01.jpg
case_images: F1
case_images: Abdominal ultrasonography and contrast-enhanced abdominal computed tomography (CT) scans showed the presence of a partially septated giant cystic lesion measuring 20 x 11 x 13 cm in the abdominal cavity (fig. 1).
case_images: On magnetic resonance cholangiopancreatography, the pancreatic body lesion detected by the CT scan was depicted as high-intensity area on a T2-weighted image.
case_images: cro-0007-0047-g02.jpg
case_images: PMC3934618_01_cro-0007-0047-g02.jpg
case_images: F2
case_images: T2-weighted images. These findings were consistent with the characteristics of cystic lesions (fig. 2).
case_images: A distal pancreatectomy with splenectomy was performed. The cystic content was serous fluid of a dark, muddy color, suggesting previous bleeding.
case_images: cro-0007-0047-g03.jpg
case_images: PMC3934618_01_cro-0007-0047-g03.jpg
case_images: F3
case_images: The cystic content was serous fluid of a dark, muddy color, suggesting previous bleeding (fig. 3).
case_images: On histopathological examination, the lining membrane had a papillary structure composed of cuboidal cells with round nuclei (a). The cells stained PAS-positive (b) and diastase PAS-negative (c), thus indicating the presence of glycogen. These findings led to the definitive diagnosis of SCN.
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case_images: PMC3934618_01_cro-0007-0047-g04.jpg
case_images: F4
case_images: The cells stained PAS-positive and diastase PAS-negative, thus indicating the presence of glycogen (fig. 4).