case_images: PMC3934809_01
case_images: a Contrast-enhanced CT showed numerous strongly enhanced abnormal vessels (arrowheads) and a hypovascular lesion in the area of the pancreatic tail (arrow). b Angiographic study of the celiac artery confirmed racemose vascular networks in the tail of the pancreas (arrowhead) and early venous return to the portal system (arrow). c ERP showed narrowing and displacement of the main pancreatic duct in the tail of the pancreas (arrow).
case_images: crg-0008-0026-g01.jpg
case_images: PMC3934809_01_crg-0008-0026-g01.jpg
case_images: F1
case_images: Contrast-enhanced computed tomography (CT) showed numerous strongly enhanced abnormal vessels and a hypovascular lesion in the area of the pancreatic tail (fig. 1a). Angiographic study of the celiac artery confirmed racemose vascular networks in the tail of the pancreas and early venous return to the portal system (fig. 1b). Endoscopic retrograde pancreatography (ERP) revealed narrowing and displacement of the main pancreatic duct in the tail of the pancreas (fig. 1c).
case_images: A honeycomb-like structure with collected vessels was observed in the pancreas. The splenic vein was occupied by thrombi (asterisks).
case_images: crg-0008-0026-g02.jpg
case_images: PMC3934809_01_crg-0008-0026-g02.jpg
case_images: F2
case_images: The splenic vein was occupied by thrombi (fig. 2).
case_images: a Histological examination of the resected pancreas showed rupture of the dilated pancreatic duct with bleeding (HE, x10). b Pancreatic stones (HE, x10). c Severe atrophy with fibrosis of the pancreatic parenchyma (HE, x10). d Abundant abnormal vessels were observed in the pancreas, some containing thrombi (Elastica van Gieson, x10).
case_images: crg-0008-0026-g03.jpg
case_images: PMC3934809_01_crg-0008-0026-g03.jpg
case_images: F3
case_images: Histological examination of the resected pancreas revealed rupture of the dilated pancreatic duct with bleeding (fig. 3a), pancreatic stones (fig. 3b) and severe atrophy with fibrosis of the pancreatic parenchyma (fig. 3c). In addition, many abnormal vessels, some containing thrombi, were observed in the pancreas (fig. 3d).