Inflammatory myofibroblastic tumors arising from pancreas head and peri-splenic area mimicking a malignancy

Inflammatory myofibroblastic tumors (IMT) are a benign tumor entity, which rarely develop in the liver. Surgery is the most common treatment for these lesions as it is difficult to distinguish them from malignant liver tumors and local recurrent growth may occur. IMT is a diagnostic challenge for imaging. Only a limited number of reports of single cases or small number of patients described the imaging features on computed tomography. Reports on IMT appearance on magnetic resonance imaging are scarce. We present a case of IMT of the liver with infiltration of the abdominal wall treated with surgery and describe the imaging features with the use of the hepatobiliary contrast agent, gadoxetic acid (Gd-EOB).

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Effect of sarcopenic obesity on postoperative pancreatic fistula after pancreaticoduodenectomy in patients with pancreas head cancer

Clinical Nutrition ◽

10.1016/j.clnu.2018.06.1741 ◽

2018 ◽

Vol 37 ◽

pp. S206

Author(s):

Y. Ryu ◽

I.W. Han ◽

D.W. Choi ◽

S.H. Choi ◽

J.S. Heo ◽

...

Keyword(s):

Pancreatic Fistula ◽

Postoperative Pancreatic Fistula ◽

Sarcopenic Obesity ◽

Head Cancer ◽

Pancreas Head

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CLINICAL SIGNIFICANCE OF ANGIOGRAM FOR THE CANCER OF PANCREAS HEAD AND PERIAMPULLARY REGION

The Japanese Journal of Gastroenterological Surgery ◽

10.5833/jjgs.14.578 ◽

1981 ◽

Vol 14 (4) ◽

pp. 578-583

Author(s):

Minoru NAKAMOTO ◽

Yoshiaki SATO ◽

Tsuneo TAKAHASHI ◽

Tetsuya IDE ◽

Yasuyoshi MORINAGA ◽

...

Keyword(s):

Clinical Significance ◽

Pancreas Head ◽

Periampullary Region

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The substantiation of chronic pancreatitis surgical treatment method selection

Bulletin of Siberian Medicine ◽

10.20538/1682-0363-2007-3-43-50 ◽

2007 ◽

Vol 6 (3) ◽

pp. 43-50

Author(s):

V. A. Koubyshkin ◽

I. A. Kozlov ◽

N. I. Yashina ◽

T. V. Shevchenko

Keyword(s):

Chronic Pancreatitis ◽

Surgical Treatment ◽

Gastric Resection ◽

Clinical Manifestations ◽

Pancreatic Head ◽

Pain Syndrome ◽

Treatment Method ◽

Pancreas Head ◽

Resection Of The Pancreas

The experience of surgical treatment of 154 patients having chronic pancreatitis with preferential injury of the pancreas head which underwent different operative interventions: isolated resection of pancreatic head ( based upon Berger surgery - 24, Frey surgery - 39), pancreatoduodenal resection ( with gastric resection - 22, with preserved pylorus - 43) and drainage surgeries - 26 is presented in the article. The surgery of isolated resection of pancreatic head has less number of nearest unfavorable results compared with pancretoduodenal resection with preserved pylorus. Proximal resection of the pancreas the variants of which are different isolated resection of pancreatic head is superior upon surgeries with full or partly resection of the duodenum due to fast normalization of the motor-evacuation function, less rate of the intestinal reflux and portion character of duodenal evacuation. In the follow-up period after pancreatoduodenal resection, atrophic processes occur in distal areas of the pancreas which are followed by clinical manifestations of exo- and endocrinous insufficiency. The surgery of longitudinal pancreatic jejunostomy does not avoid pathologic changes in the organ head and pain syndrome.

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Incisional ventral hernia with loss of domain containing right kidney and pancreas head inside

Revista Hispanoamericana de Hernia ◽

10.20960/rhh.00270 ◽

2020 ◽

Author(s):

Alberto García Picazo ◽

Konstantin Shirai ◽

Miguel Ángel García Ureña ◽

Almudena Martínez Pozuelo

Keyword(s):

Ventral Hernia ◽

Loss Of Domain ◽

Pancreas Head ◽

Incisional Ventral Hernia

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СT and MRI in the assessment of resectable and borderline resectable pancreatic tumors

Annaly khirurgicheskoy gepatologii = Annals of HPB surgery ◽

10.16931/1995-5464.2021134-47 ◽

2021 ◽

Vol 26 (1) ◽

pp. 34-47

Author(s):

A. V. Kudryavtseva ◽

S. S. Bagnenko ◽

I. I. Dzidzawa ◽

I. S. Zheleznyak ◽

G. E. Trufanov ◽

...

Keyword(s):

Malignant Tumors ◽

The Body ◽

Ductal Adenocarcinoma ◽

Pancreatic Tumors ◽

Borderline Resectable ◽

Dynamic Contrast Enhancement ◽

Pancreas Head ◽

Diffusion Weighted Images ◽

Depth Analysis ◽

Ct And Mri

Aim. To evaluate the capabilities of CT and MRI in the assessment of resectable and potentially resectable pancreatic tumors.Materials and methods. From 2015 to 2020 CT and MRI examination of the abdomen was performed in 220 patients with pancreatic ductal adenocarcinoma. The average age of the patients was 54.6 ± 9.9 years. 198 (90%) patients had a tumor of the pancreas head, 22 (10%) patients had a tumor of the body or tail of the organ. 110 (50%) people were recognized as inoperable. The results of examination of 88 (40%) patients were subjected to in-depth analysis.Results. Eighty eight patients were assessed for tumor resectability. In 36 (40.9%) cases, the neoplasm was recognized as resectable, and the standard resection was performed. In 52 (59.1%) cases, the tumor was determined as borderline resectable; extended gastropancreatoduodenal resection was performed.The usefulness of CT was shown in assessing the features of the variable vascular anatomy of the hepatopancreatobiliary area, determining the nature of the involvement of key vessels in the pathological process and lesions of the pancreas as a whole. The importance of using multiphase CT scanning is demonstrated and emphasized. The advantages of the MRI are indicated, including examples of the effective use of diffusion-weighted images.Conclusion. Multiphase MDCT and MRI with dynamic contrast enhancement are the leading methods of radiological diagnosis of malignant tumors of the pancreas and effectively complement each other.

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Clinical spectrum of obstructive jaundice: a descriptive crosssectional study

10.25083/2559.5555/6.1.10 ◽

2021 ◽

Vol 6 (1) ◽

pp. 53-57

Author(s):

R. Naveena MS

Keyword(s):

Obstructive Jaundice ◽

The Elderly ◽

Stone Disease ◽

Clinical Spectrum ◽

Bile Duct Stricture ◽

Elderly Male ◽

Male Population ◽

Pancreas Head ◽

Duodenal Carcinoma ◽

Duct Stricture

Objective. The objective of this study was to evaluate the clinical spectrum of obstructive jaundice in inflammation, stone disease, and malignancy. Methods. A descriptive observational study was done among 50 patients with the diagnosis of obstructive jaundice during the period 2012 to 2013. A detailed history and clinical examinations and radiological confirmation were done. Results. Among the participants, 74% participants had jaundice, 58% with vomiting as presenting complaints. Among benign cases, 60% were choledocholithiasis, 25% were common bile duct stricture, and 15% were choledochal cyst. Among malignant cases, 26.67% were periampullary carcinoma, 23.33% had carcinoma of the pancreas head, and 13.33% had D2 duodenal carcinoma. Conclusions. The etiology of obstructive jaundice was malignancy in the elderly male population. The most common presenting features were yellowish discoloration of skin and mucosa followed by vomiting and abdominal pain.

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