Pancreatic carcinoma complicating chronic pancreatitis

Case contributed by Dr Mohammad A. ElBeialy

Presentation

abdominal pain, distension, anorexia and weight loss.

Patient Data

Age: 55 years
Gender: Male
  • dense compact and scattered calcification of the pancreatic head, body and pancreatic tail.
  • the pancreatic tail appears bulky with an ill-defined, low density, fairly enhanced 5 cm lesion encroaching upon the splenic hilum and peri-pancreatic tail fat. Small peri-pancreatic lymphadenopathy is noted.
  • marked attenuation of the splenic vein at the region of the pancreatic tail with a splenic wedge-shaped area of low density representing splenic infarction. The posterior wall of the stomach appears intact with no invasion.
  • peritoneal carcinomatosis with enhancing soft tissue masses are seen beneath the anterior abdominal wall.
  • mild ascites. 
  • the liver is average sized with no definite focal lesion. No biliary tree dilatation.

Case Discussion

Diagnosis: Pancreatic carcinoma as a complication of chronic pancreatitis with peritoneal carcinomatosis and ascites as well as  splenic vein thrombosis and splenic infarction   

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Case information

rID: 25743
Case created: 6th Nov 2013
Last edited: 16th Dec 2015
Inclusion in quiz mode: Included

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