Intra-operative sonography of pancreas

Case contributed by Dr Paresh K Desai

Presentation

45 year old male with chronic pancreatitis, MRCP revealed lower CBD stricture and Pancreatic duct obstruction. CBD and Pancreatic duct stenting was technically not possible at ERCP. Patient is taken for Puestow's Procedure.

Patient Data

Age: 45
Gender: Male

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Case Discussion

Intra-operative sonography of pancreas and lower end of CBD has been done.

It reveals dilated CBD; No mass lesion at the lower end.

During the exposure of the pancreas pus came out on the pancreatic surface.

Pancreatic sonography reveals - The diameter of pancreatic duxt = 4.1mm. Calibre on MRCP was 11mm.

Debris is seen within the pancreatic duct - representing infected contents.

Since the calibre of pancreatic duct was only 4.1mm - pancreatico- jejunostomy was abandoned and only a choledocho-duodenostomy performed.

Patient is recovering well after the surgery.

Note the dense pancreatic parenchymal calcifications of Chronic pancreatitis.

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Case information

rID: 13111
Case created: 2nd Mar 2011
Last edited: 19th Dec 2015
Inclusion in quiz mode: Included

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