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

Figure 2

ERCP. (a) ERCP: incomplete contrast injection in the pancreatic duct. Cystic dilatation of the main pancreatic duct in the head of pancreas; initial opacification of less dilated duct in the body. Note normal caliber duct in uncinated process. (b) Pancreatic papillotomy, followed by passage of white pancreatic stone. No mucin was seen at this moment. (c) “Fish eye” sign; mucin spurring from the minor papilla. (d) Flow of mucin from the minor papilla.

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