Gastric impression from outside the
The gastric lumen is substantially narrowed.
Peristaltic movements are not blocked by this
space occupying lesion, rendering an impres-
sion from outside very likely.
Biopsy foreceps can not flatten the lesion
(figure: top right). Ultrasound shows a normal
pancreatic head and body (right figure).
The pancreatic tail harbours a cystic structure
with calcifications peripherally and also
Needle aspiration corroborates the suspected
mucinous cystadenoma. Central rather than
peripheral calcifications of the cyst are strong
hints to this cystic space occupying lesion
of the pancreas.
Magen = stomach,
Zystadenom = cystadenoma