Idiopathic granulomatous appendicitis: a rare appendicular pseudo tumor

Pancreatic enzymes are typically raised in patients with pseudocyst. Also, the features of acute or chronic pancreatitis like necrotic areas in pancreas with ductal dilatation with calcification/fat saponification surrounding thick Gerota fascia are generally present in the patient with PPC and help in clinching the diagnosis. Occasionally Upper GI series (passage of contrast in GDC due to its communication with gastric lumen) and scintigraphy 9 (ectopic mucosa in GDC) help in arriving at the diagnosis MRI may show a thin layer between the cyst and the body of pancreas and the surrounding organs and thus rule out possibility of a lesion being pancreatic pseudocyst. 6