{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T12:04:14Z","timestamp":1753877054097,"version":"3.41.2"},"reference-count":9,"publisher":"Oxford University Press (OUP)","issue":"9","license":[{"start":{"date-parts":[[2024,9,7]],"date-time":"2024-09-07T00:00:00Z","timestamp":1725667200000},"content-version":"vor","delay-in-days":6,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,9,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Introduction: Pancreatic lesions have varied morphology and presentation making their diagnosis challenging. The lesions may be asymptomatic incidentalomas on abdominal imaging for other conditions, symptomatic producing specific hormone effects or causing local effects. Case: We report a 35-year-old woman with recurrent abdominal pain confirmed gastroesophageal reflux disease. Initial CT imaging reported findings of a pancreatic pseudocysts. A careful review of the imaging showed cystic dilatation of the main pancreatic duct mimicking a main pancreatic duct intra-ductal papillary mucinous neoplasm. At surgery, a small nodule palpated in the pancreatic head with sacculation in the body and tail. A histopathological review showed a pancreatic neuroendocrine tumour blocking the main pancreatic duct at the neck causing downstream dilatation and sacculation. This case highlights the difficulty of diagnosing small asymptomatic pancreatic tumours especially with limited range of imaging modalities while increasing awareness of these conditions to improve our ability to manage them effectively.<\/jats:p>","DOI":"10.1093\/omcr\/omae104","type":"journal-article","created":{"date-parts":[[2024,9,7]],"date-time":"2024-09-07T12:23:42Z","timestamp":1725711822000},"source":"Crossref","is-referenced-by-count":0,"title":["An unusual case of incidental pancreatic neuroendocrine tumor presenting with main pancreatic duct cystic dilatation"],"prefix":"10.1093","volume":"2024","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6076-2494","authenticated-orcid":false,"given":"Samuel","family":"Essoun","sequence":"first","affiliation":[{"name":"Korle Bu Teaching Hospital Department of Surgery, , P.O. Box KB 77, Korle Bu, Accra, Ghana"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0787-1637","authenticated-orcid":false,"given":"Nii A","family":"Adu-Aryee","sequence":"additional","affiliation":[{"name":"University of Ghana Medical School Department of Surgery, , P.O. Box GP 4236, Accra, Ghana"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Henry E","family":"Obaka","sequence":"additional","affiliation":[{"name":"Korle Bu Teaching Hospital Department of Surgery, , P.O. Box KB 77, Korle Bu, Accra, Ghana"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2540-790X","authenticated-orcid":false,"given":"Bernard","family":"Seshie","sequence":"additional","affiliation":[{"name":"Tema General Hospital Department of Surgery, , Hospital Road, Tema, Ghana"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3339-5112","authenticated-orcid":false,"given":"Dzifa","family":"Dey","sequence":"additional","affiliation":[{"name":"University of Ghana Medical School Department of Medicine and Therapeutics, , P.O. Box GP 4236, Accra, Ghana"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Simon","family":"Naporo","sequence":"additional","affiliation":[{"name":"Greater Accra Regional Hospital (Ridge Hospital) Department of Pathology, , P.O. Box GP 473, Accra Ghana"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2024,9,7]]},"reference":[{"key":"2024090709150872100_ref1","doi-asserted-by":"crossref","first-page":"523","DOI":"10.1007\/s11605-014-2459-7","article-title":"Non-neoplastic epithelial cysts of the pancreas: a rare, benign entity","volume":"18","author":"Assifi","year":"2014","journal-title":"J Gastrointest Surg"},{"key":"2024090709150872100_ref2","doi-asserted-by":"crossref","first-page":"138","DOI":"10.1136\/gutjnl-2016-313127","article-title":"Prospective study on the incidence, prevalence and 5-year pancreatic-related mortality of pancreatic cysts in a population-based study","volume":"67","author":"Kromrey","year":"2018","journal-title":"Gut"},{"key":"2024090709150872100_ref3","doi-asserted-by":"crossref","first-page":"99","DOI":"10.4103\/eus.eus_72_17","article-title":"Pancreatic solid incidentalomas","volume":"6","author":"Santo","year":"2017","journal-title":"Endosc Ultrasound"},{"key":"2024090709150872100_ref4","doi-asserted-by":"crossref","first-page":"355","DOI":"10.2214\/AJR.11.8037","article-title":"Incidental neuroendocrine tumors of the pancreas: MDCT findings and features of malignancy","volume":"200","author":"Gallotti","year":"2013","journal-title":"AJR Am J Roentgenol"},{"key":"2024090709150872100_ref5","first-page":"1632","article-title":"A case of non-functioning pancreatic neuroendocrine tumor accompanied by stenosis of the main pancreatic duct","volume":"44","author":"Ishii","year":"2017","journal-title":"Gan To Kagaku Ryoho"},{"key":"2024090709150872100_ref6","doi-asserted-by":"crossref","first-page":"769","DOI":"10.2169\/internalmedicine.3702-19","article-title":"Prevalence rate and predictive factors of pancreatic diseases in cases with pancreatic duct dilatation: a cross-sectional study of a large, healthy Japanese population","volume":"59","author":"Fujisawa","year":"2020","journal-title":"Intern Med"},{"key":"2024090709150872100_ref7","doi-asserted-by":"crossref","first-page":"1222","DOI":"10.4158\/EP14373.RA","article-title":"Advances in diagnosis and treatment of pancreatic neuroendocrine tumors","volume":"20","author":"Vinik","year":"2014","journal-title":"Endocr Pract"},{"key":"2024090709150872100_ref8","doi-asserted-by":"crossref","first-page":"43","DOI":"10.1016\/j.beem.2007.01.003","article-title":"Imaging of neuroendocrine tumours (CT\/MR\/US)","volume":"21","author":"Rockall","year":"2007","journal-title":"Best Pract Res Clin Endocrinol Metab"},{"key":"2024090709150872100_ref9","doi-asserted-by":"crossref","first-page":"87","DOI":"10.1016\/j.beem.2006.12.004","article-title":"Surgery on neuroendocrine tumours","volume":"21","author":"Akerstr\u00f6m","year":"2007","journal-title":"Best Pract Res Clin Endocrinol Metab"}],"container-title":["Oxford Medical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/omcr\/article-pdf\/2024\/9\/omae104\/59037192\/omae104.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/omcr\/article-pdf\/2024\/9\/omae104\/59037192\/omae104.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,9,7]],"date-time":"2024-09-07T12:23:47Z","timestamp":1725711827000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/omcr\/article\/doi\/10.1093\/omcr\/omae104\/7750648"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,9,1]]},"references-count":9,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2024,9,1]]}},"URL":"https:\/\/doi.org\/10.1093\/omcr\/omae104","relation":{},"ISSN":["2053-8855"],"issn-type":[{"type":"electronic","value":"2053-8855"}],"subject":[],"published-other":{"date-parts":[[2024,9]]},"published":{"date-parts":[[2024,9,1]]},"article-number":"omae104"}}