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:

  1. Pancreatic adenocarcinoma of the head pressing on common bile duct

    ReplyDelete
  2. Pancreatic carcinoma

    ReplyDelete
  3. 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.

    ReplyDelete

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