The tumor was palpated as a hard mass in the
head of pancreas. The tumor was 15 cm in diameter and extended from the duodenum through to the retroperitoneum and inferior cecal region.
Acute segmental inflammation usually localized to the
head of pancreas and occurs with gallstones (10,13,14).
In our study the diagnostic accuracy of ultrasound for the diagnosis of CA
head of pancreas was 88%.
MRCP showing Dilated MPD with Atrophied Pancreatic Parenchyma and a Long Fistulous Tract from MPD from the Region of the
Head of Pancreas and Extends along the Right Subhepatic Space and Hepatorenal Pouch into the Right Pleural Cavity via a well-defined Trans-Diaphragmatic Tract in the Right Postero-Laterai aspect of Hemidiaphragm
Primary diseases affecting the patients included tumor of the
head of pancreas (54.2%), periampullary tumor (41.6%), and cholangiocarcinoma (4.2%).
[7], carcinoma of
head of pancreas was the most common lesion found in the studies of Huis et al., [4] Siddique et al., [5] and Huang et al.
The patient was taken for a laparotomy, which revealed bulky
head of pancreas and multiple vessels around the head and uncinate process of pancreas.
Soft pancreas is usually seen with periampullary cancer rather than cancer
head of pancreas. In this study, neither the age nor the high bilirubin level has statistical relation to incidence of POPF.
Cytologic features on fine needle aspiration of SPN have been described in the literature, (4) and for
head of pancreas lesions, endoscopic-guided FNAC is useful.
The CBD stones were observed as the most common indication (25.3%), followed by CBD injuries after open(10.84%) or laproscopic-cholecystectomy (14.46%), carcinoma
head of pancreas (12.05%) and CBD obstruction(14.46%) either due to CBD strictures or unknown distal obstruction.
A percutaneous pancreaticogram was done which revealed a round filling defect of 15 mm occupying the main pancreatic duct in the region of the
head of pancreas raising the possibility of a mucinous ductal neoplasm.
Endoscopic ultrasonography (EUS) revealed a mass in the
head of pancreas and fine needle aspiration (FNA) showed a clear cell tumor suggestive of renal cell carcinoma.