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Abdomen and retroperitoneum | 1.3 Pancreas
Case 1.3.1 Pancreatic head carcinoma and ampullary carcinoma


Direct signs: A mass in the pancreatic head:
Pancreatic head carcinoma with dilatated common bile duct but without dilatated pancreatic duct
Direct signs: A mass in the pancreatic head:
Pancreatic head tumor with a mass in the pancreatic head and a dilatated pancreatic duct but without dilatation of the biliary tract
Direct signs: A mass in the pancreatic head:
Pancreatic head carcinoma with a mass in the pancreatic head and dilatated common bile duct and intrahepatic bile ducts
Direct signs: A mass in the pancreatic head:
Pancreatic head carcinoma with a mass in the pancreatic head and dilatated pancreatic duct, common bile duct and intrahepatic bile ducts
Direct signs: A mass in the pancreatic head:
Pancreatic head carcinoma with a pancreatic mass and double duct sign
Indirect signs: Double duct sign:
Pancreatic head carcinoma with dilatated bile ducts, sludge filled gallbladder and dilatated pancreatic duct
Indirect signs: Double duct sign:
Pancreatic head carcinoma with double duct sign
Indirect signs: Double duct sign:
Pancreatic head carcinoma with double duct sign and dilatated gallbladder
Indirect signs: Double duct sign:
Pancreatic head carcinoma with double duct sign and liver metastasts
Indirect signs: Double duct sign:
Double duct sign in a patient with a pancreatic head carcinoma with dilatated common bile duct and pancreatic duct
Indirect sign: Atrophy of the gland:
Pancreatic head carcinoma with a pancreatic mass, double duct sign, Courvoisier gallbladder and lymph node metastases
Indirect sign: Atrophy of the gland:
Pancreatic head carcinoma with a vascularized inhomogeneous mass and a dilatation of the common bile duct and pancreatic duct. The body and ...
Indirect sign: Atrophy of the gland:
Pancreatic head carcinoma with dilatated common bile duct and pancreatic duct and atrophy of the pancreas
Indirect sign: Atrophy of the gland:
Pancreatic head carcinoma with a dilatated common bile duct and pancreatic duct and atrophy of the gland
Indirect sign: Atrophy of the gland:
Pancreatic head carcinoma with dilatated bile ducts and pancreatic duct and atrophy of the gland
Pancreatic head carcinoma in relation to the duodenum:
Pancreatic head carcinoma with a mass in the panceatic head and invasion of the duodenum and liver metastasis
Pancreatic head carcinoma in relation to the duodenum:
Mass encasing the doudenum and infiltrating the pancreas with double duct sign (dilatated bile and pancreatic duct) and abnormal lymph nodes ...
Pancreatic head carcinoma in relation to the vessels:
Pancreatic head carcinoma with extension to the superior mesenteric vein
Pancreatic head carcinoma in relation to the vessels:
Carcinoma of the pancreatic head with partial encasement of the mesenteric artery with a double duct sign and liver metastasis
Pancreatic head carcinoma in relation to the vessels:
Pancreatic head carcinoma with encasement of the superior mesenterc vein
Pancreatic head carcinoma in relation to the vessels:
Pancreatic head carcinoma with encasement of the superior mesenterc vein
Pancreatic head carcinoma in relation to the vessels:
Partly cystic pancreatic head carcinoma with encasement of the mesenteric artery, sludge filled gallbladder, but without dilatation of the b ...
Pancreatic head carcinoma in relation to the vessels:
Pancreatic head carcinoma with tumor thrombus in the splenic vein and superior mesenteric vein
Pancreatic head carcinoma in relation to the vessels:
Pancreatic head carcinoma with encasement and impression of the superior mesenterc vein and enlarged lymph nodes
Metastases of a pancreatic head carcinoma:
Pancreatic head carcinoma with lymph node metastases
Metastases of a pancreatic head carcinoma:
Pancreatic head carcinoma with dilatated common bile duct, metastatic lymphe nodes and liver metastasis
Metastases of a pancreatic head carcinoma:
Pancreatic head carcinoma with double duct sign and liver metastases
Metastases of a pancreatic head carcinoma:
Pancreatic carcinoma and liver metastases
Metastases of a pancreatic head carcinoma:
Pancreatic carcinoma and liver metastases
Metastases of a pancreatic head carcinoma:
Pancreatic head carcinoma with mesenteric lymph node metastases and perirenal and adrenal infiltration
Pancreatic head carcinoma and stent placement:
Pancreatic head carcinoma with extension in the common bile duct and dilatated bile ducts
Pancreatic head carcinoma and stent placement:
Pancreatic head carcinoma with a stent in the common bile duct and air in the biliary tract
Pancreatic head carcinoma and stent placement:
Pancreatic head carcinoma with a stent in the common bile duct and tumor obstructing the distal end
Pancreatic head carcinoma and stent placement:
Pancreatic head carcinoma with a stent in the common bile duct and tumor obstructing the proximal end
Malignant cystic masses:
Cystic mass in the pancreatic head with a normal pancreatic corpus and tail and normal bile ducts. Histology proved this to be a pancreatic ...
Malignant cystic masses:
Pancreatic head carcinoma with a partly cystic mass and slightly dilatated pancreatic duct
Ampullary carcinomas:
Ampullary carcinoma with a mass in the common bile duct and dilatation of the bile duct and pancreatic duct and a pancreatic cyst
Ampullary carcinomas:
Tumor at the ampulla obstructing the bile ducts and the pancreatic duct. Biopsy proved it to be an adenocarcinoma
Ampullary carcinomas:
Ampullary carcinoma with dilatated pancreatic and bile ducts and a soft tissue mass in the distal common bile duct
Case of the month July 2013: Ampullary carcinomas:
Neuroendocrine tumor at Vaters papil with dilatated bile ducts
Ampullary carcinomas:
Pancreatic head or ampullary carcinoma with dilatated bile ducts, but without dilatated pancreatric duct
Pitfalls:
Lymph node metastasis that could be mistaken for a pancreatic head lesion
Pitfalls:
Pancreatitis of the pancreatic head with dilatated bile ducts and minimal dilatation of the pancreatic duct that mimicks a pancreatic head c ...
Pitfalls:
Inflammation of the pancreatic head mimicking a tumor with slight dilatation of the common bile duct and normal pancreatic duct
Pitfalls:
Focal pancreatitis with a hypoechoic mass in the pancreatic head and dilatated pancreatic duct that could be mistaken for a pancreatic head ...
Direct signs: A mass in the pancreatic head:
Pancreatic head carcinoma with dilatated common bile duct but without dilatated pancreatic duct
Direct signs: A mass in the pancreatic head:
Pancreatic head tumor with a mass in the pancreatic head and a dilatated pancreatic duct but without dilatation of the biliary tract
Direct signs: A mass in the pancreatic head:
Pancreatic head carcinoma with a mass in the pancreatic head and dilatated common bile duct and intrahepatic bile ducts
Direct signs: A mass in the pancreatic head:
Pancreatic head carcinoma with a mass in the pancreatic head and dilatated pancreatic duct, common bile duct and intrahepatic bile ducts
Direct signs: A mass in the pancreatic head:
Pancreatic head carcinoma with a pancreatic mass and double duct sign
Indirect signs: Double duct sign:
Pancreatic head carcinoma with dilatated bile ducts, sludge filled gallbladder and dilatated pancreatic duct
Indirect signs: Double duct sign:
Pancreatic head carcinoma with double duct sign
Indirect signs: Double duct sign:
Pancreatic head carcinoma with double duct sign and dilatated gallbladder
Indirect signs: Double duct sign:
Pancreatic head carcinoma with double duct sign and liver metastasts
Indirect signs: Double duct sign:
Double duct sign in a patient with a pancreatic head carcinoma with dilatated common bile duct and pancreatic duct
Indirect sign: Atrophy of the gland:
Pancreatic head carcinoma with a pancreatic mass, double duct sign, Courvoisier gallbladder and lymph node metastases
Indirect sign: Atrophy of the gland:
Pancreatic head carcinoma with a vascularized inhomogeneous mass and a dilatation of the common bile duct and pancreatic duct. The body and ...
Indirect sign: Atrophy of the gland:
Pancreatic head carcinoma with dilatated common bile duct and pancreatic duct and atrophy of the pancreas
Indirect sign: Atrophy of the gland:
Pancreatic head carcinoma with a dilatated common bile duct and pancreatic duct and atrophy of the gland
Indirect sign: Atrophy of the gland:
Pancreatic head carcinoma with dilatated bile ducts and pancreatic duct and atrophy of the gland
Pancreatic head carcinoma in relation to the duodenum:
Pancreatic head carcinoma with a mass in the panceatic head and invasion of the duodenum and liver metastasis
Pancreatic head carcinoma in relation to the duodenum:
Mass encasing the doudenum and infiltrating the pancreas with double duct sign (dilatated bile and pancreatic duct) and abnormal lymph nodes ...
Pancreatic head carcinoma in relation to the vessels:
Pancreatic head carcinoma with extension to the superior mesenteric vein
Pancreatic head carcinoma in relation to the vessels:
Carcinoma of the pancreatic head with partial encasement of the mesenteric artery with a double duct sign and liver metastasis
Pancreatic head carcinoma in relation to the vessels:
Pancreatic head carcinoma with encasement of the superior mesenterc vein
Pancreatic head carcinoma in relation to the vessels:
Pancreatic head carcinoma with encasement of the superior mesenterc vein
Pancreatic head carcinoma in relation to the vessels:
Partly cystic pancreatic head carcinoma with encasement of the mesenteric artery, sludge filled gallbladder, but without dilatation of the b ...
Pancreatic head carcinoma in relation to the vessels:
Pancreatic head carcinoma with tumor thrombus in the splenic vein and superior mesenteric vein
Pancreatic head carcinoma in relation to the vessels:
Pancreatic head carcinoma with encasement and impression of the superior mesenterc vein and enlarged lymph nodes
Metastases of a pancreatic head carcinoma:
Pancreatic head carcinoma with lymph node metastases
Metastases of a pancreatic head carcinoma:
Pancreatic head carcinoma with dilatated common bile duct, metastatic lymphe nodes and liver metastasis
Metastases of a pancreatic head carcinoma:
Pancreatic head carcinoma with double duct sign and liver metastases
Metastases of a pancreatic head carcinoma:
Pancreatic carcinoma and liver metastases
Metastases of a pancreatic head carcinoma:
Pancreatic carcinoma and liver metastases
Metastases of a pancreatic head carcinoma:
Pancreatic head carcinoma with mesenteric lymph node metastases and perirenal and adrenal infiltration
Pancreatic head carcinoma and stent placement:
Pancreatic head carcinoma with extension in the common bile duct and dilatated bile ducts
Pancreatic head carcinoma and stent placement:
Pancreatic head carcinoma with a stent in the common bile duct and air in the biliary tract
Pancreatic head carcinoma and stent placement:
Pancreatic head carcinoma with a stent in the common bile duct and tumor obstructing the distal end
Pancreatic head carcinoma and stent placement:
Pancreatic head carcinoma with a stent in the common bile duct and tumor obstructing the proximal end
Malignant cystic masses:
Cystic mass in the pancreatic head with a normal pancreatic corpus and tail and normal bile ducts. Histology proved this to be a pancreatic ...
Malignant cystic masses:
Pancreatic head carcinoma with a partly cystic mass and slightly dilatated pancreatic duct
Ampullary carcinomas:
Ampullary carcinoma with a mass in the common bile duct and dilatation of the bile duct and pancreatic duct and a pancreatic cyst
Ampullary carcinomas:
Tumor at the ampulla obstructing the bile ducts and the pancreatic duct. Biopsy proved it to be an adenocarcinoma
Ampullary carcinomas:
Ampullary carcinoma with dilatated pancreatic and bile ducts and a soft tissue mass in the distal common bile duct
Case of the month July 2013: Ampullary carcinomas:
Neuroendocrine tumor at Vaters papil with dilatated bile ducts
Ampullary carcinomas:
Pancreatic head or ampullary carcinoma with dilatated bile ducts, but without dilatated pancreatric duct
Pitfalls:
Lymph node metastasis that could be mistaken for a pancreatic head lesion
Pitfalls:
Pancreatitis of the pancreatic head with dilatated bile ducts and minimal dilatation of the pancreatic duct that mimicks a pancreatic head c ...
Pitfalls:
Inflammation of the pancreatic head mimicking a tumor with slight dilatation of the common bile duct and normal pancreatic duct
Pitfalls:
Focal pancreatitis with a hypoechoic mass in the pancreatic head and dilatated pancreatic duct that could be mistaken for a pancreatic head ...
Copyright © Dr. T.S.A. Geertsma, Ziekenhuis Gelderse Vallei, Ede, The Netherlands. All rights reserved.

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