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Pancreatic head carcinoma

Case contributed by Dr Fakhry Mahmoud Ebouda


Eldery female complaining of epigastric pain, skin discoloration, itching and weight loss.

Patient Data

Age: 70
Gender: Female

Diffuse intrahepatic biliary duct dilatation. Markedly dilated CBD.


Marked diffuse dilatation of intrahepatic biliary ducts. The CBD and pancreatic ducts are dilated down to the level of an obstructing irregular pancreatic head mass giving rise to the double duct sign.

Hiatus hernia is incidentally noted.


MRCP showing double duct sign.

Case Discussion

Pancreatic head mass with obstructive jaundice. It was proved histologically to be an adenocarcinoma.

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Case information

rID: 30809
Published: 4th Sep 2014
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included

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