March 2016

Abnormal pancreas

Clinical Info

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

Ultrasound Images & Clips

Abnormal pancreas

Transverse image of a swollen hypoechoic pancreas
Transverse image of a swollen hypoechoic pancreas
Longitudinal image of the pancreas
Longitudinal image of the pancreas
The pancreatic head is swollen and hypoechoic. The commol bile duct is slightly dilatated
The pancreatic head is swollen and hypoechoic. The commol bile duct is slightly dilatated
The common bile duct is slightly compressed
The common bile duct is slightly compressed
The right kidney has a dilatated pelvicalyceal system
The right kidney has a dilatated pelvicalyceal system
Transverse image of the kidney
Transverse image of the kidney
The left kidney is normal
The left kidney is normal
Transverse image of the retroperitoneal vessels compressing the ureter. Can you guess what the underlying medical problem of the patient is
Transverse image of the retroperitoneal vessels compressing the ureter. Can you guess what the underlying medical problem of the patient is
CT Pancreas
CT retroperitoneal structures
This is the kidney with dilatated calyces in a 52 year old patient
This is the kidney with dilatated calyces in a 52 year old patient
Again the other kidney is normal
Again the other kidney is normal
There is again a mass around the aorta
There is again a mass around the aorta
The right ureter can be followed to the retroperitoneal vessels
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 a mass around it
Longitudinal image of the aorta with color doppler
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

  • Hitachi Ultrasound System