Presentation
Epigastric pain, skin discoloration, itching and weight loss.
Patient Data
Age: 70 years
Gender: Female
From the case:
Pancreatic head carcinoma
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Diffuse intrahepatic biliary duct dilatation. Markedly dilated CBD.
From the case:
Pancreatic head carcinoma
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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.
From the case:
Pancreatic head carcinoma
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MRCP showing double duct sign.
Case Discussion
Pancreatic head mass with obstructive jaundice. It was proved histologically to be an adenocarcinoma.