September 2011

Mass next to the pancreatic head

Clinical Info

weight loss and vomiting

Ultrasound Images & Clips

Mass next to the pancreatic head

Transverse image of the upper abdomen shows a normal pancreatic body and part of the tail with a mass next to and impressing or invading the pancreatic head
Transverse image of the upper abdomen shows a normal pancreatic body and part of the tail with a mass next to and impressing or invading the pancreatic head
Transverse image of the upper abdomen shows a normal pancreatic body with a mass next to and impressing or invading the pancreatic head There is air within the mass
Transverse image of the upper abdomen shows a normal pancreatic body with a mass next to and impressing or invading the pancreatic head There is air within the mass
videoclip
Longitudinal image of the gallbladder. There is a close relation between the gallbladder and the mass
Longitudinal image of the gallbladder. There is a close relation between the gallbladder and the mass
Longitudinal image of the upper abdomen. There is a semicircular mass with air and in close relation to the gallbladder
Longitudinal image of the upper abdomen. There is a semicircular mass with air and in close relation to the gallbladder
Image of the upper abdomen showing the close relation between the gallbladder and the semicircular air filled mass
Image of the upper abdomen showing the close relation between the gallbladder and the semicircular air filled mass
The mass is highly vascularized
The mass is highly vascularized
CT image of the normal pancreas
CT image of the normal pancreas
CT image of the mass in the upper abdomen
CT image of the mass in the upper abdomen
CT image shows air and contrast in the tumor mass
CT image shows air and contrast in the tumor mass
CT

Conclusion

The only structure between the gallbladder and the pancreas is the duodenum. The air within the mass is suggestive for a part of the digestive tract. Endoscopy showed a large ulcerating duodenal mass that biopsy proved to be an adenocarcinoma of the duodenum. The CT scan and US showed no distant metastases.
The patient was referred to an oncological center to see if surgical removal (Whipple procedure)is still an option


Details

  • Sex: Male
  • Age: 57

Created with

  • Hitachi Ultrasound System