Pancreatic carcinoma

Case contributed by David Clemo Steel
Diagnosis almost certain

Presentation

Epigastric pain

Patient Data

Age: 55 years
Gender: Male
ct

Pancreatic hypodense mass in the body of the pancreas with posterior growth, involving celiac trunk, origin of common hepatic and splenic artery, and SMA.

Portal vein stenosis, with cavernomatosis, and mesenteric collateral veins.

There is no liver or mesenteric involvement.

Case Discussion

This is an unresectable tumor because vascular involvement can preclude resection, and in this case, there is involvement of almost all vascular structures adjacent to the pancreas.

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