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A 66-year-old womanwith an altered mental status caused by hypoglycemia was referred to Akita City Hospital. Abdominal ultrasonography (US) and endoscopic US revealed an isoechoic mass measuring 25 mmin the head of the pancreas. Endoscopic retrograde cholangiopancreatography (ERCP) revealed that the main pancreatic duct and its branches were displaced around the mass in the head of the pancreas. On arteriography, a poorly vascularized tumor was observed. Dynamiccontrast-enhanced computeddoi:10.2169/internalmedicine.40.28 fatcat:dpgceobm4zajtmjis4tq3ronfe