Pancreatic cystic lesions (PCLs) are more commonly being diagnosed, due in large part to technical improvements and the increasing use of abdominal imaging that enables detection of small pancreatic lesions [1,2]. The reported incidence of PCLs ranges from 13.5 % to 30 % [3–6]. As the number of patients with incidentally detected PCLs continues to rise, questions are being raised regarding the optimal way to manage them. The vast majority of incidentally found PCLs are asymptomatic and benign, b…