Introduction: Acinar cell cystadenoma (ACA) is very rare and benign neoplasm of the pancreas; it arises from the normal acinar parenchyma of the pancreas and may exist as solitary or diffuse lesions.
Presentation Of Case: We here present a case of thirty-seven years old gentleman who incidentally was found to have multifocal cystic lesions distributed throughout the tail, body and uncinate process of the pancreas.
Discussion: Pre-operative diagnosis of pancreatic ACA remains very difficult and challenging despite advances in imaging techniques.