PMC6584908_01
CT scan image mimicking a cancer of the tail of the pancreas.
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Abdominal-pelvic CT scan with contrast injection had helped find an inhomogeneous tissue mass suggesting a tumour of the tail and body of the pancreas, measuring 86 x 83 mm (Fig. 1).
Mass in contact with the duodeno-jejunal angle (Treitz).
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Laparotomy showed a mass which was separated from of the tail of the pancreas, multicoloured, lying against the duodeno-jujenal angle through some small vessels, and along the abdominal aorta up to the aortic bifurcation (Fig. 2).
Dissection of the mass using Babcock's pliers and with no hand contact, allowing the least mobilization possible.
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A minimal mobilization of the mass with a Babcock (Fig. 3) and the use of Nicardipine helped maintain blood pressure below 180 mm Hg.
Microscopic image of pheochromocytoma at low magnification showing the cell architecture with a capsule limit and a gathering of cells into nests.
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Histology confirmed the diagnosis of pheochromocytoma (Fig. 4).