PMC3499257_01
CT scan demonstrating a bulk in splenic area of about 8 cm in diameter and infiltrating pancreatic tail with adhesions to left diaphragm, left colic flexure and left kidney fascia
1471-2482-12-S1-S28-1.jpg
PMC3499257_01_1471-2482-12-S1-S28-1.jpg
F1
CEA increase (19.3 ug/L). CT scan demonstrated a bulk in splenic area of about 8 cm in diameter and infiltrating pancreatic tail with adhesions to left diaphragm, left colic flexure and left kidney fascia (Fig. 1).
Surgical specimen comprehensive of the bulk resected en-bloc with pancreatic tail, left colic flexure, a portion of left diaphragm and kidney fascia.
1471-2482-12-S1-S28-2.jpg
PMC3499257_01_1471-2482-12-S1-S28-2.jpg
F2
The bulk was resected en-bloc with pancreatic tail, left colic flexure, a portion of left diaphragm and kidney fascia; bowel continuity was restored by side-to-side stapled anastomosis; diaphragm was directly sutured (Fig. 2).