Pancreas cystic lesion

Kloppel G, Kosmahl M. Cystic lesions and neoplasms of the pancreas. The featrrres are becoming clearer. Pancreatology. 2001 1 648-655. 

The increasing use of cross-sectional imaging of the abdomen has resulted in an increasing number of patients, who are labeled with the diagnosis of a cystic lesion of the pancreas. In contradiction to a widespread belief, the... 

Fig.7.8a,b. Pyogenic abscess, a Pyogenic abscess in a 35-year old man status post laparoscopic right hepatectomy due to an hydatid cyst. Portal venous-phase contrast-enhanced CT scan shows a thick-walled cystic lesion with homogeneous low attenuation. b Pyogenic abscess with presence of gas within the lesion in a 52-year-old man with fever, head of pancreas neoplasia (not resectable due to superior mesenteric vein infiltration) and recent portal thrombosis. An axial portal phase CT scan shows an hypoattenuating lesion with non-homogeneous content and gas inside... 

The second pathologic finding, ceroid pigment, a product of autoxidation of unsaturated lipids, has been reported in the smooth muscle of the stomach, intestine, bronchial wall, and bladder of children djdng with cystic fibrosis of the pancreas, particularly if they were over 2 years of age (Blanc et al., 1958 Kerner and Goldbloom, 1960). It was less frequent in infants who died with biliary atresia, presumably because of their earlier death. These lesions, which also have been described in adults with the malabsorption syndrome (Pappenheimer and Victor, 1946 Braunstein, 1961) bear a close resemblance to the findings in the vitamin E-deficient animal where the amount of ceroid deposition can be correlated with the level of unsaturated fatty acids in the diet (Mason et al., 1946). 

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