Pancreatic adenocarcinoma

Case contributed by Ian Bickle


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.


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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