case_images: PMC11830502_01
case_images: CT abdomen with IV contrast (axial view) showing peripancreatic stranding (red arrow, panel A), pancreatic calcifications, and a pancreatic pseudocyst measuring 6.2 x 4.1 cm (red box, panel B).
case_images: cureus-0017-00000077590-i01.jpg
case_images: PMC11830502_01_cureus-0017-00000077590-i01.jpg
case_images: FIG1
case_images: Computed tomography (CT) of the abdomen showed peripancreatic stranding, pancreatic calcifications, and a pancreatic pseudocyst measuring 6.2 x 4.1 cm, increased from a previous size of 3.4 x 2.3 cm (Figure 1).
case_images: Post-endoscopic retrograde cholangiopancreatography (ERCP) demonstrating the 10 French x 9 cm plastic stent (red arrow) placed across a 4 cm long stricture in the lower common bile duct was performed.
case_images: cureus-0017-00000077590-i02.jpg
case_images: PMC11830502_01_cureus-0017-00000077590-i02.jpg
case_images: FIG2
case_images: Brushings of the bile duct stricture were obtained, and a 10 French x 9 cm plastic stent was placed into the CBD (Figure 2).
case_images: Endoscopic ultrasound (EUS) images showing a large cystic lesion in the head of the pancreas measuring 5 x 6 cm (red arrows) with features suggestive of a cystic neoplasm.
case_images: cureus-0017-00000077590-i03.jpg
case_images: PMC11830502_01_cureus-0017-00000077590-i03.jpg
case_images: FIG3
case_images: Subsequent endoscopic ultrasound (EUS) identified a large cystic lesion in the head of the pancreas measuring 5 x 6 cm with features suggestive of a cystic neoplasm (Figure 3).
case_images: CT abdomen with IV contrast (axial view) demonstrating progression of pancreatitis with an indeterminate mass in the pancreatic head (red arrow) and associated duodenal inflammation.
case_images: cureus-0017-00000077590-i04.jpg
case_images: PMC11830502_01_cureus-0017-00000077590-i04.jpg
case_images: FIG4
case_images: CT imaging suggested the progression of pancreatitis with an indeterminate mass in the pancreatic head and associated duodenal inflammation (Figure 4).