Presentation
Abdominal pain, distension, anorexia and weight loss.
Patient Data
Age: 55 years
Gender: Male
From the case:
Pancreatic carcinoma complicating chronic pancreatitis
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- 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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