1. Presented by Ralph Hruban, M.D. and prepared by Natasha Rekhtman, M.D., Ph.D.

This elderly male with a history of chronic pancreatitis was found to have a cystic mass in the head of the pancreas. At the time of endoscopy he was also found to have a prominent accessory ampulla. The specimen is from the accessory ampulla.

mages/10 11 05 case 4 1.jpg
mages/10 11 05 case 4 2.jpg
mages/10 11 05 case 4 3.jpg
mages/10 11 05 case 4 4.jpg