Metastatic pancreatic ductal adenocarcinoma

Case contributed by Mohammadtaghi Niknejad

Presentation

Abdominal pain and recent weight loss.

Patient Data

Age: 70 years
Gender: Female

A 34 × 56 mm low enhancing mass is noted in the pancreatic body and tail that encases the splenic artery and extends into the main portal vein and its right and left branches.

A few regional enlarged lymph nodes are also observed.

Multiple low-enhancing masses are seen in the liver less than 20 mm, inferring metastasis.

Small volume of free fluid is present in the pelvis.

Case Discussion

Pancreatic mass, pathology-proven ductal adenocarcinoma with splenic artery encasement, portal vein thrombosis, small regional lymphadenopathy, and hepatic metastases.

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