Gouty Tophi Manifesting as a Pancreatic Foci

Gout is a common disorder of uric acid metabolism highly prevalent in our population. The majority of patients with gout present with acute monoarticular arthritis, but a significant proportion of patients also go on to develop chronic tophaceous gout. Musculoskeletal sites are the usual sites of tophus formation and, very rarely, tophi may form in a visceral organ. We present a case of pancreatic gout of which only 3 cases have been reported. Our case is unique and challenging, as it initially masqueraded as a pancreatic neoplasm creating many diagnostic dilemmas.