Presentation
Work up for abdominal pain.
Patient Data
Hypodense 30 mm mass in the head of the pancreas, showing less enhancement than normal pancreatic parenchyma on late arterial and PVP images. The mass resulted in dilated bile and pancreatic ducts but did not encroach on any large vessel.
Gallbladder is overdistended.
A few lymph nodes are seen in the peripancreatic region, the largest one measuring 12×9 mm.
The prostate gland is enlarged.
Post-operative changes due to the Whipple procedure comprise partial pancreaticoduodenectomy, pancreaticojejunostomy, hepaticojejunostomy, cholecystectomy and gastrojejunostomy. There is no sign of local tumour recurrence at the surgical site.
Pneumobilia is evident.
Case Discussion
The Whipple procedure is the definitive surgical operation to resect carcinoma of the head of the pancreas, periampullary carcinoma, or duodenal carcinoma.
The case is pathologically proved pancreatic ductal adenocarcinoma.
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