Diagnostic Challenges in a Patient with Metastatic Merkel Cell Carcinoma and Abdominal Pain

Abstract

We examined a 51-year-old white male patient diagnosed with metastatic Merkel cell tumor, treated with immunotherapy, who came to the emergency room with upper abdominal pain and elevated pancreatic serum enzymes. He was suspected to have acute pancreatitis and was referred for computed tomography examination, which didn’t depict any sign of acute pancreatitis, showing a solid mass adjacent to the pancreatic head, retroperitoneal lymphadenopathies, solid nodules in the subcutaneous fat, and retroperitoneum.