case_images: PMC10869145_01
case_images: Abdominal CT scan before endoscopic procedures (performed on October 31, 2022). The radiological examination showed a volumetric enlargement of the primary lesion (62 x 38 x 54 millimeters [mm]), with a massive arteriovenous involvement (superior mesenteric artery, celiac trunk, portomesenteric confluence, inferior vena cava). The newly formed tissue compressed the duodenal C-loop, dislocated due to gallbladder overdistension. The cystic, pancreatic and common hepatic ducts were enlarged, with intrahepatic biliary tree ectasia.
case_images: cro-2024-0017-0001-536218_F01.jpg
case_images: PMC10869145_01_cro-2024-0017-0001-536218_F01.jpg
case_images: F1
case_images: A total body CT scan (Fig. 1), performed on October 31, revealed further disease progression, with massive vascular involvement, cystic, pancreatic and common hepatic duct enlargement and duodenal C-loop compression.
case_images: Abdominal CT scan after endoscopic procedures (performed on November 15, 2022). The radiological investigation, besides confirming the correct placement of the metal stent, showed an important increase in the peritoneal fluids, with a greater stickiness in the pelvic cavity (65 mm).
case_images: cro-2024-0017-0001-536218_F02.jpg
case_images: PMC10869145_01_cro-2024-0017-0001-536218_F02.jpg
case_images: F2
case_images: An abdominal CT scan has been performed on November 15 to monitor the clinical course (Fig. 2).