Association of Chronic Pancreatitis and Malignant Main Duct IPMN: A Rare but Difficult Clinical Problem

Figure 1

CAT scan ((a) and (b)) and magnetic resonance ((c) and (d)) images before the surgery. (a) Pancreatic head increased in size, with focal calcification, without mass lesion. (b) Dilated pancreatic duct in the whole pancreas, with major diameter, and fusiform dilatation in the pancreatic head. Slight atrophy of pancreatic parenchyma. (c) Fusiform dilated main pancreatic duct in the pancreatic head, with small filling defect suspected. (d) Dilated main pancreatic duct in pancreatic body and tail, with slight atrophy of parenchyma.

(a)

(b)

(c)

(d)