Severe paraduodenal pancreatitis

Case contributed by Dr Maxim Stalkov

Presentation

Chronic abdominal pain and nausea. History of alcohol abuse.

Patient Data

Age: 43
Gender: Male

Extensive inflammatory infiltrate is seen in the pancreatoduodenal region. Duodenum is compressed by multiple cystic structures. Pancreatic and common bile ducts are dilated, there are calcifications in the head of the pancreas. Patient also has coeliac artery stenosis due to compression by median arcuate ligament. Blood flow is diverted mainly into gastroduodenal artery, which runs through the center of the infiltrate and has a saccular aneurysm in its distal portion. Sliding hiatus hernia is also noted.

Case Discussion

CT findings are consistent with segmental form of paraduodenal pancreatitis. Patient's condition is complicated by presence of median arcuate ligament syndrome and saccular aneurysm of gastroduodenal artery.

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Case information

rID: 39070
Case created: 18th Aug 2015
Last edited: 27th Sep 2015
Inclusion in quiz mode: Included

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