Endoscopy 1994; 26(2): 260-261
DOI: 10.1055/s-2007-1008957
© Georg Thieme Verlag KG Stuttgart · New York

Pancreatic Duct Stenosis Mimicking a Tumor due to an Aberrant Vessel

P. Born1 , W. Barina1 , R. Terfloth1 , A. Fiebig2 , F. Paul1
  • 12nd Medical Clinic, Municipal Hospital Ingolstadt, Germany
  • 2Department of Pathology, Municipal Hospital Ingolstadt, Germany
Further Information

Publication History

Publication Date:
17 March 2008 (online)

Abstract

A case of a 74-year-old man is reported who had liver cirrhosis and a mass lesion in the left liver lobe. The search for a potential primary tumor showed a filiform duct stenosis in the pancreatic head on ERCP. The presumptive diagnosis of a pancreatic tumor with a liver metastasis was made. Due to the poor general condition of the patient no further diagnostic steps were undertaken and he died four weeks later from progressive liver failure. On autopsy an aberrant vessel originating from the superior mesenteric artery (arteria pancreaticoduodenalis dextra superior) was found to cause the ductal stenosis; an hepatocellular carcinoma in the left liver lobe, but no pancreatic tumor was detected.