March 2016

Abnormal pancreas

Bookmark

Clinical information

Patient with a long standing medical problem has now severe abdominal pain.

Ultrasound Images & Clips

Abnormal pancreas

Transverse image of a swollen hypoechoic pancreas

Longitudinal image of the pancreas

The pancreatic head is swollen and hypoechoic. The commol bile duct is slightly dilatated

The common bile duct is slightly compressed

The right kidney has a dilatated pelvicalyceal system

Transverse image of the kidney

The left kidney is normal

Transverse image of the retroperitoneal vessels. Can you guess what the underlying medical problem of the patient is

CT 3

This the kidney with dilatated calyces in a 52 year old patient

Again the other kidney is normal

There isd again a mass around the aorta

The right ureter can be followed to the retroperitoneal vessels

Longitudinal image of the aorta with a mass around it

Longitudinal image of the aorta with color doppler

CT 1

CT 2

CT 3

Conclusion

Both patients have a retroperitoneal fibrosis. The first patient also has an autoimmune pancreatitis which is a known complication in patients with retroperitoneal fibrosis

Details

Sex: Male
Age: 70

Created with

Fujifilm Ultrasound System

Browse through our ultrasound product portfolio

Looking for MSK Ultrasound Education? Visit Sonoskills.com

Author

Dr. Taco Geertsma

Retired Radiologist, Gelderse Vallei Hospital

Dr. Taco Geertsma is the founder of UltrasoundCases.info and a retired radiologist and has worked in the Gelderse Vallei hospital from January 1, 1983. till July 1, 2014. He was the head of the ultrasound department for many years.

More Cases from Taco Geertsma

[{"listLocation":"abdomen-and-retroperitoneum","icon":"001-abdomen-white.svg","header":"Abdomen and retroperitoneum","id":63},{"listLocation":"urinary-tract-and-male-reproductive-system","icon":"002-urinary-tract-white.svg","header":"Urinary Tract and male reproductive system","id":64},{"listLocation":"gynaecology","icon":"003-gynaecology-white.svg","header":"Gynaecology","id":65},{"listLocation":"head-and-neck","icon":"004-head-neck-white.svg","header":"Head and Neck","id":66},{"listLocation":"breast-and-axilla","icon":"005-breast-white.svg","header":"Breast and Axilla","id":67},{"listLocation":"musculo-skeletal-joints-and-tendons","icon":"006-msk-joints-white.svg","header":"Musculoskeletal Joints and Tendons","id":68},{"listLocation":"musculo-skeletal-bone-muscle-nerves-and-other-soft-tissues","icon":"007-msk-bones-white.svg","header":"Musculoskeletal, bone, muscle, nerves and other soft tissues","id":69},{"listLocation":"thorax","icon":"008-thorax-white.svg","header":"Thorax","id":70},{"listLocation":"pediatrics","icon":"009-pediatrics-white.svg","header":"Pediatrics","id":71},{"listLocation":"peripheral-vessels","icon":"010-peripheral-vessels-white.svg","header":"Peripheral vessels","id":72}]