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Fig. 1 | Surgical Case Reports

Fig. 1

From: Synchronous double primary malignancies of the pancreatic body and extrahepatic bile duct treated with pancreatoduodenectomy and splenic artery resection following neoadjuvant chemotherapy with gemcitabine plus nab-paclitaxel: a case report

Fig. 1

Abdominal contrast computed tomography (CT) findings at initial diagnosis. A The left gastric artery (LGA) was surrounded by soft tissue. Swollen regional Lymph node was adjacent to the pancreatic tumor. B–D 40-mm-sized hypovascular mass in the pancreatic body that was radiologically consistent with pancreatic ductal adenocarcinoma (arrowhead) showing wide abutment the common hepatic artery and the splenic artery (SpA). C Hazy attenuation connected to the tumor was seen on the Celiac artery. D Contour irregularity was seen on SpA and focal narrowing was seen on the splenic vein (SpV). E The main pancreatic duct (MPD) was slightly dilated in the distal side. F the lower bile duct tumor was enhanced

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