Pancreatic adenocarcinoma

Case contributed by Dr Ian Bickle

Presentation

Recent CT with pancreatic head mass consistent with carcinoma. An element of outlet obstruction and surgical delineation indication for study.

Patient Data

Age: 75 years
Gender: Male

Unfortunately the CT is not available.

Fluoroscopy

Indentation and displacement of the 2nd part of the dudoneum by a mass, typically at this site a mass in the head of pancreas.

The mass is eroding the mucosa of the 2nd part of duodenum just proximal to the D2-D3 junction.

Case Discussion

Fluroscopy is decreasingly used in contemporary imaging.  This case illustrates some sound principles from fluoroscopic work:

  • the displacement of normal anatomical positions of structures
  • the appearances of external compression and mucosal erosion
  • the skill involves not just interpretation, but the acquisition of images, to get the best diagnosis

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