Presentation
Abdominal pain and progressive distension.
Patient Data
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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.