PMC10184256_01
Abdominal CT scan axial (a, b) and coronal (c, d) images with contrast injection showing thickening of the inner wall of the second duodenum, lately enhanced (blue arrow), with multiple subcentimetric cystic formations in the wall of the duodenum and in the duodeno-pancreatic groove (yellow arrow).
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Contrast enhanced CT scan (Figure 1) showed thickening of the inner wall of the second duodenum with multiple contiguous subcentimetric cystic formations intramurally and in the duodeno-pancreatic groove.
Pancreatic MRI in T2 coronal WS (a), MRCP (b), axial T1 with contrast enhancement WS (c, d) confirming intramural and inter duodenal-pancreatic cysts (red arrow).
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Pancreatic MRI was performed confirming intramural and inter duodenal-pancreatic cysts (Figure 2).
Pancreatic MRI in T2 axial FS WS (a, b, c) and T1 after contrast enhancement WS (d) showed the presence of aberrant pancreatic tissue in the inner wall of the second duodenum (green arrow).
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It also showed the presence of aberrant pancreatic tissue in the inner wall of the second duodenum (Figure 3).
Post surgery CT scan control without contrast (a) and after contrast enhancement (b) showing anastomoses of WHIPPLE surgery: the jejunal loop is anastomosed to the right of the remaining pancreas and to the anterior surface of the superior mesenteric artery (orange arrow).
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Control CT scan was performed showing no complications (Figure 4).