September 2011

Mass next to the pancreatic head

Bookmark

Clinical information

weight loss and vomiting

Ultrasound Images & Clips

Mass next to the pancreatic head

Transverse image of the upper abdomen shows a normal pancreas with a mass next to the pancreatic head

Transverse image of the pancreas. The pancreas is normal. 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 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 mass

The mass is highly vascularized

CT image of the normal pancreas

CT image of the mass in the upper abdomen

Ct image shows air in the tumor mass

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

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}]