TABLE 6.

Diagnostic Workup, Type of Surgery, and Pathology Results of IBD Patients With Pancreatic Cysts Who Underwent Surgical Intervention

	Indication for CT	CT	Indication for MRI	MRI	Indication for EUS	EUS	Fine-Needle Aspiration	Indication for Surgery	Type of Surgery	Age at Time of Surgery, y	Pathology
Patient A	Crohn disease	1.1-cm cystic lesion	Cyst seen on CT	1-cm solid enhancing lesion consistent with neuroendocrine tumor	Pancreatic cyst concerning for neuroendocrine tumor	1.2-cm cystic lesion (anechoic with hyperechoic shadowing	Cytology: negative for malignant cells. Mucin: negative	Pancreatic cyst concerning for neuroendocrine tumor	Central pancreatectomy and pancreatojejunostomy	56	Well-differentiated pancreatic endocrine neoplasm of uncertain behavior
Patient B	Abdominal pain and acute pancreatitis	0.6-cm low-density lesion	History of chronic pancreatitis	Multiple cystic lesions (0.9-cm largest)	Multiple cysts seen on MRI and CT	Hyperechoic foci, calcifications. Main duct narrowed with hyperechoic walls and dilation to 3.9 mm	Not done	Chronic pancreatitis	Total pancreatectomy with islet cell transplant	52	Fibrodense tissue with granulation tissue and acute inflammation
Patient C	Abdominal aortic aneurysm	4.5-cm cyst	Not applicable	Not done	Large pancreatic cyst	4.5-cm unilocular cyst	Carcinoembryonic antigen: 29445 Cytology: negative	4.5-cm cyst, high carcinoembryonic antigen level	Distal pancreatectomy	73	Side-branch intraductal papillary mucinous adenoma without dysplasia
Patient D	Nephrolithiasis	1-cm cystic lesion	Pancreatic cyst	1.5-cm cystic mass with PD dilation to 0.5 cm	Pancreatic cyst with PD dilation	1.1-cm cyst with mural nodule and PD dilation	Cytology: atypical cells	Pancreatic cyst with mural nodule, PD dilation, and atypical cells	Open distal pancreatectomy	81	IPMN, low-grade dysplasia