case_images: PMC5055922_01
case_images: CT image demonstrating presence of a heterogeneous well-demarcated mass arising from the body and tail of the pancreas (marked with a blue arrow) and extending towards the splenic hilum.
case_images: CRIGM2016-4037618.001.jpg
case_images: PMC5055922_01_CRIGM2016-4037618.001.jpg
case_images: fig1
case_images: Contrast-enhanced computed topography (CT) of the abdomen showed a 10.3 x 7.6 x 10.3 cm size heterogeneous mass with mild contrast enhancement arising from the body and the tail of the pancreas with no calcifications (Figure 1).
case_images: Patient operated on in right lateral position with head-up tilt using ports arranged as in this image.
case_images: CRIGM2016-4037618.002.jpg
case_images: PMC5055922_01_CRIGM2016-4037618.002.jpg
case_images: fig2
case_images: Patient was operated on in right lateral position with head-up tilt using five ports.  Figure 2 shows the ports arrangement.
case_images: Macroscopic appearance of distal pancreatectomy with splenectomy specimen containing well-demarcated lobulated mass (red arrow), part of body of pancreas (blue arrow), and spleen (yellow arrow).
case_images: CRIGM2016-4037618.003.jpg
case_images: PMC5055922_01_CRIGM2016-4037618.003.jpg
case_images: fig3
case_images: The specimen (Figure 3) was delivered in a bag through a 7.5 cm incision.
case_images: Haematoxylin and eosin stained section showing sheets of polygonal cells displaying bland nuclei and a thin rim of eosinophilic cytoplasm containing sharp vacuolations. Occasional mitotic figures are present (x400).
case_images: CRIGM2016-4037618.004.jpg
case_images: PMC5055922_01_CRIGM2016-4037618.004.jpg
case_images: fig4
case_images: Very occasional mitotic figures were present (Figure 4).
case_images: Haematoxylin and eosin stained sections revealing foci of pseudopapillae and rosettes with vascular cores lined by neoplastic cells (x400).
case_images: CRIGM2016-4037618.005.jpg
case_images: PMC5055922_01_CRIGM2016-4037618.005.jpg
case_images: fig5
case_images: The focal pseudopapillae formation was also evident with vascular cores lined by neoplastic cells (Figure 5).
case_images: Haematoxylin and eosin stained sections displaying highly vascular and haemorrhagic stroma. Loosely cohesive cellular clusters are seen scattered within the stroma (x400).
case_images: CRIGM2016-4037618.006.jpg
case_images: PMC5055922_01_CRIGM2016-4037618.006.jpg
case_images: fig6
case_images: The stroma was highly vascular (Figure 6).
case_images: Haematoxylin and eosin stained section showing thin fibrous capsule encircling the tumour (x200).
case_images: CRIGM2016-4037618.007.jpg
case_images: PMC5055922_01_CRIGM2016-4037618.007.jpg
case_images: fig7
case_images: Thin fibrous capsule was noted encircling the tumour (Figure 7).
case_images: Haematoxylin and eosin stained section showing focus of partial capsular infiltration by the tumour (x100).
case_images: CRIGM2016-4037618.008.jpg
case_images: PMC5055922_01_CRIGM2016-4037618.008.jpg
case_images: fig8
case_images: Multiple foci of partial capsular infiltration were also noted (Figure 8).