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?
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Pancreatic adenocarcinoma of the head pressing on common bile duct
ReplyDeletePancreatic carcinoma
ReplyDeletecholangioca?
ReplyDeletenice! - i never was good at ERCP fluoro images
ReplyDelete-
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.