Intrahepatic Pancreatic Pseudocyst Complicating Chronic Calcific Pancreatitis - a rare cause for a cystic liver lesion

Intrahepatic pancreatic pseudocyst is a very rare differential for a hepatic space occupying cystic lesion. Though pseudocysts complicating chronic calcific pancreatitis are well described , an isolated intrahepatic location is extremely rare. Moreover , Intrahepatic pancreatic pseudocysts are usually described following acute pancreatitis. In this case report we describe the case of a 60 year old male presenting with epigastric pain and abdominal distension, in whom computed tomography showed features of an intrahepatic pancreatic pseudocyst complicating chronic calcific pancreatitis, which was subsequently confirmed on surgery. The etiopathogenesis and the types of intrahepatic pancreatic pseudocysts are discussed in addition to describing the imaging differentials.