Intraductal papillary mucinous neoplasm of the pancreas

Case contributed by Dr David Puebla

Presentation

Weight loss

Patient Data

Age: 50
Gender: Male

CT shows the liver size and shape within normal limits

Several hypodense lesions with peripheral enhancement and rounded appearance scattered in the liver parenchyma compatible with secondary lesions. No dilatation of the bile duct is observed. Bladder distended, thin-walled, homogeneous of isodense content.

The pancreas has an increased volume hypodense with peripheral enhancement, atrophy distally and dilatation of the main duct. Splenic vein thrombosis. Spleen homogeneous.

Kidney shape, size and parenchymal thickness preserved. left has a rounded hypodense exophytic royalty thin-walled simple cyst aspect Bosniak. No stones or hydronephrosis was observed. Loops of bowel wall thickness retained, without areas of stenosis.  No retroperitoneal lymphadenopathy.

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Case information

rID: 26250
Case created: 8th Dec 2013
Last edited: 29th Nov 2015
Inclusion in quiz mode: Included

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