Dermoid cysts of the pancreas are rare. A Seventy-five-year-old lady was evaluated for epigastric pain. A CT scan of the abdomen revealed a lesion in the pancreatic tail measuring 2.9×3.1 cm. She had normal tumour markers. An Endoscopic Ultrasound-Guided Fine Needle Aspiration revealed a 20 mm solid mass and pus was aspirated. The cytology was inconclusive and the fluid too viscous for biochemical tests. An interval scan showed that the cyst had increased in size and it had developed mural nodules. She underwent a Robotic spleen preserving distal pancreatectomy. She had a prolonged recovery due to Grade B pancreatic fistula. Her final histopathology confirmed that the tumour was a dermoid cyst.
Rohan Thakkar, Aditya Kanwar, Manu Nayar, Steven White