File:Annular pancreas (Radiopaedia 38292-40322 Coronal 49).png

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Summary:

Description
  • Radiopaedia case ID: 38292
  • Image ID: 14439943
  • Image stack position: 49/62
  • Plane projection: Coronal
  • Study findings: CT IVC Biliscopin excretion has occurred. The biliary tree is of normal caliber. CBD is 7mm. Prior cholecystectomy. No evidence of choledocholithiasis. A duodenal diverticulum near ampulla is noted, measuring 2.4 cm in craniocaudal dimension. Posterior to the diverticulum is smooth deformity of the distal CBD which becomes slit like. There is some inflammation around the distal duodenum and interior body of pancreas, as well as mild thickening of the left Gertoa's fascia, compatible with pancreatitis. Small right pleural effusion. Conclusion: Negative for choledocholithiasis.
  • Modality: CT
  • System: Hepatobiliary
  • Findings: The biliary tree remains non-dilated. There is no evidence of choledocholithiasis. The cystic duct remnant unremarkable. Soft tissue of the same signal intensity and enhancement behavior of the pancreatic parenchyma is demonstrated to encircle the duodenum. The main pancreatic duct is non-dilated. There is no focal pancreatic lesion identified. There is no peripancreatic inflammation or fluid collection. There is a sizable duodenal diverticulum near the ampulla. Renal cysts. Spleen, adrenal glands are normal. Hypoenhancing sub centimeter liver lesion in segment 2 is visible on HASTE, i.e. C cyst. Conclusion: Annular pancreas. There is no pancreatic ductal dilatation, and currently no evidence of acute pancreatitis. No focal pancreatic lesion identified.
Date Published: 15th Jul 2015
Source https://radiopaedia.org/cases/annular-pancreas-7
Author Jan Frank Gerstenmaier
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(Permission-reusing-text)		 http://creativecommons.org/licenses/by-nc-sa/3.0/

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