Thursday, June 13, 2013

Dreaded II

This 55 year old man with Peutz-Jeghers syndrome underwent an ERCP for nausea, vomiting, and abdominal pain. The arrow shows the common bile duct. The arrowhead shows the pancreatic duct.

Challenge: What's your diagnosis?

Image shown under Fair Use.

4 comments:

sibogox said...

Pancreatic adenocarcinoma of the head pressing on common bile duct

Anonymous said...

Pancreatic carcinoma

Alex said...

cholangioca?

Craig Chen said...

nice! - i never was good at ERCP fluoro images
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Dreaded II

This is the same diagnosis as the last case: pancreatic adenocarcinoma. The ERCP shows the “double duct sign;” the CBD is dilated proximal to a stricture and the pancreatic duct is dilated due to obstruction from a tumor.

Source: UpToDate.