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Item Multicystic adenomatoid hamartoma of the pancreas(Elsevier, 2019-09-01) Hosfield, Brian D.; Grayson, Britney L.; Nakeeb, Attila; Albright, Eric A.; Markel, Troy A.; Surgery, School of MedicineMulticystic adenomatoid hamartoma is an extremely rare tumor of the pancreas, with only 4 other cases reported in the literature. We report a case of a 4-year old boy who presented with an 8 month history of abdominal pain, steatorrhea, and failure to thrive. Work-up showed severe pancreatic insufficiency and a large, multiseptated, cystic mass originating from the head of the pancreas and compressing the duodenum. The child underwent a classic pancreaticoduodenectomy with portal vein reconstruction. He tolerated the procedure well and has been seen in follow-up.