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Case of the Month

March 2016

Patient Data: 70 year old male

Clinical Info: Patient with a long standing medical problem has now severe abdominal pain


62732-Afbeelding1.jpg
Transverse image of a swollen hypoechoic pancreas


62733-Afbeelding2.jpg
Longitudinal image of the pancreas


62734-Afbeelding3.jpg
The pancreatic head is swollen and hypoechoic. The commol bile duct is slightly dilatated


62735-Afbeelding4.jpg
The common bile duct is slightly compressed


62736-Afbeelding5.jpg
The right kidney has a dilatated pelvicalyceal system


62737-Afbeelding6.jpg
Transverse image of the kidney


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The left kidney is normal


62748-Afbeelding8.jpg
Transverse image of the retroperitoneal vessels compressing the ureter. Can you guess what the underlying medical problem of the patient is


62775-Mijn_Film_1.swf CT Pancreas


62777-Mijn_Film_2a.swf CT retroperitoneal structures


62749-Afbeelding9.jpg
This is the kidney with dilatated calyces in a 52 year old patient


62750-Afbeelding11.jpg
Again the other kidney is normal


62751-Afbeelding12.jpg
There is again a mass around the aorta


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The right ureter can be followed to the retroperitoneal vessels


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Longitudinal image of the aorta with a mass around it


62765-Afbeelding15.jpg
Longitudinal image of the aorta with color doppler


62778-Mijn_Film_1.swf CT 1


62779-Mijn_Film_2.swf CT 2


62780-Mijn_Film_3.swf CT 3

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

For more cases of pancreatitis and retroperitoneal fibrosis see

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