Case 11-1985

Presentation of CaseA 54-year-old woman was admitted to the hospital because of a pancreatic mass.She was well until six weeks earlier, when she began to experience persistent nausea and anorexia, with occasional vomiting of ingested food. She became aware of an enlarging mass in the right upper abdominal quadrant that was occasionally painful on movement. Pruritus developed and worsened during the four weeks before admission, and she observed darkening of her urine. There were rare night sweats, without frank chills. A computed tomographic (CT) scan of the abdomen showed a pancreatic mass. An attempted percutaneous biopsy of the . . .