Metastatic pancreatic ductal adenocarcinoma

Case contributed by Mohammad Taghi Niknejad
Diagnosis almost certain

Presentation

Abdominal pain and progressive distension.

Patient Data

Age: 60 years
Gender: Male
This study is a stack
Axial With
oral contrast
This study is a stack
Axial C+ portal
venous phase
This study is a stack
Axial C+
delayed
This study is a stack
Coronal C+ portal
venous phase
This study is a stack
Sagittal C+ portal
venous phase
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Info

Massive abdominal fluid and omental thickening are present.

A 45× 38 mm ill-defined low-enhancing mass is noted in the pancreatic body and tail that encases splenic vessels and the distal part of the celiac artery. A few enlarged lymph nodes are seen in the vicinity of the diseased segment with SAD less than 12 mm.

Additionally, a few ill-defined low-enhancing masses are seen in the liver less than 25 mm, inferring metastases.

Case Discussion

Pancreatic mass; pathology-proven ductal adenocarcinoma with a vascular encasement, regional lymphadenopathy, hepatic metastasis, ascites and omental thickening.

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