Sub-Acute Intestinal Obstruction: A Rare Presentation of Mucinous Cyst Adenocarcinoma of

2014 
Pancreatic adenocarcinoma is one of the most aggressive malignant tumors documented as the fourth leading cause of cancerrelated death with overall survival rate <4%. By the time, the clinical symptoms appear and the tumor has attained large size with local invasion leading to delayed diagnosis in the majority of cases. Here, we report a case of 51-year-old female presented with diffuse abdominal pain associated with nausea, vomiting and constipation since 15 days with clinically unremarkable abdominal fi ndings. Abdominal X-ray (standing) s/o multiple air fl uid level, and ultrasonography s/o heterogeneous lesion noted in tail of pancreas with central necrotic area. Other investigations brought to the diagnosis of mucinous cyst adenocarcinoma of the pancreas.
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