A rare case of dermoid cyst in the pancreas

Pancreatic dermoid cyst is an extremely rare benign neoplasm of the pancreas. Pre-operative diagnosis is often difficult due to its rarity and overlapping features with other pancreatic cystic neoplasms. We report a case of a 55-year-old male with an incidental finding of a lobulated complex cystic lesion in the tail of the pancreas on imaging and the challenges to obtain a definitive diagnosis. Due to suspicious features on imaging and elevated CA 19-9 tumour marker, surgical resection was recommended at the Pancreatic Multidisciplinary Team Meeting. The patient subsequently underwent a distal pancreatectomy and splenectomy which confirmed a dermoid cyst.