Pancreatic head carcinoma

Case contributed by Dr Fakhry Mahmoud Ebouda

Presentation

Eldery female complaining of epigastric pain, skin discoloration, itching and weight loss.

Patient Data

Age: 70
Gender: Female
Modality: Ultrasound

Diffuse intrahepatic biliary duct dilatation. Markedly dilated CBD.

Modality: CT

Marked diffuse dilatation of intrahepatic biliary ducts. The CBD and pancreatic ducts are dilated down to the level of an obstructing irregular pancreatic head mass giving rise to the double duct sign.

Hiatus hernia is incidentally noted.

Modality: MRI

MRCP showing double duct sign.

Case Discussion

Pancreatic head mass with obstructive jaundice. It was proved histologically to be an adenocarcinoma.

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Case Information

rID: 30809
Case created: 4th Sep 2014
Last edited: 9th Jan 2016
Inclusion in quiz mode: Included

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