Gastric outlet obstruction - pancreatic cancer

Case contributed by Dr Becky Chan

Presentation

Early satiety, weight loss and worsening reflux symptoms.

Patient Data

Age: 70 years
Gender: Male

A low attenuation mass with approximate measurements of 49 x 44 x 62 mm is seen arising within the head of pancreas. The mass is encasing the superior aspect of the second part of the duodenum, causing obstruction and marked dilatation of the first part of the duodenum and the entire stomach. The mass is also obstructing the pancreatic duct which is markedly dilated, and the body and tail of the pancreas is atrophic.

Case Discussion

This case illustrates a pancreatic head tumor causing gastric outlet obstruction.

Endoscopic biopsy: Poorly differentiated carcinoma with immunoprofile consistent with pancreatobiliary origin.

 

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Case information

rID: 68930
Published: 20th Jun 2019
Last edited: 14th Aug 2019
System: Oncology
Inclusion in quiz mode: Included

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