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.
Thursday, June 13, 2013
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4 comments:
Pancreatic adenocarcinoma of the head pressing on common bile duct
Pancreatic carcinoma
cholangioca?
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.
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