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Metastatic Pancreatic Adenocarcinoma

Bass ECB - MedPix (2009)

View Article: MedPix Image - MedPix Case

Affiliation: Madigan Army Medical Center

ABSTRACT

Diagnosis: Metastatic Pancreatic Adenocarcinoma

History: 1. Melena with no source discovered via EGD or colonoscopy. 2. Decreased appetite. 3. Generalized weakness.

Findings: Small bowel follow-through fluoroscopic exam with spot compression images display a focal area of concentric narrowing with abrupt shouldering located within the distal 3rd portion of the duodenum. Oral and IV contrast enhanced CT of abd/pelvis demonstrates a 4x2 cm mass and indistinct thickening of the 3rd and 4th portions of the duodenum with surrounding enlarged, pathologic lymph nodes. Also, multiple indistinct, large hypoattenuating lesions are present throughout the liver.

Ddx: 1. Adenocarcinoma 2. Carcinoid 3. Leiomyosarcoma 4. Metastases 5. Lymphoma 6. Duodenitis 7. IBD

Dxhow: Biopsy

Exam: 1. Decreased Hematocrit.

No MeSH data available.


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Metastatic Pancreatic Adenocarcinoma

Bass ECB - MedPix (2009)

SBFT
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX2306&req=5

MPX2306_synpic24707: SBFT

View Article: MedPix Image - MedPix Case

Affiliation: Madigan Army Medical Center

ABSTRACT

Diagnosis: Metastatic Pancreatic Adenocarcinoma

History: 1. Melena with no source discovered via EGD or colonoscopy. 2. Decreased appetite. 3. Generalized weakness.

Findings: Small bowel follow-through fluoroscopic exam with spot compression images display a focal area of concentric narrowing with abrupt shouldering located within the distal 3rd portion of the duodenum. Oral and IV contrast enhanced CT of abd/pelvis demonstrates a 4x2 cm mass and indistinct thickening of the 3rd and 4th portions of the duodenum with surrounding enlarged, pathologic lymph nodes. Also, multiple indistinct, large hypoattenuating lesions are present throughout the liver.

Ddx: 1. Adenocarcinoma 2. Carcinoid 3. Leiomyosarcoma 4. Metastases 5. Lymphoma 6. Duodenitis 7. IBD

Dxhow: Biopsy

Exam: 1. Decreased Hematocrit.

No MeSH data available.