case_images: PMC11282560_01
case_images: Computed tomography abdomen showing distal pancreatic lesion.
case_images: 10.1177_2050313X241264952-fig1.jpg
case_images: PMC11282560_01_10.1177_2050313X241264952-fig1.jpg
case_images: fig1-2050313X241264952
case_images: On further evaluation for fever and anorexia, computed tomography (CT) abdomen was performed, which revealed a hypodense segment in the pancreas involving the distal body and tail suspicious of malignancy (Figure 1) but with multiple ring-enhancing lesions in the liver in favour of infectious aetiology rather than malignancy (Figures 2 and 3).
case_images: Computed tomography abdomen showing multiple ring-enhancing liver lesions (axial section).
case_images: 10.1177_2050313X241264952-fig2.jpg
case_images: PMC11282560_01_10.1177_2050313X241264952-fig2.jpg
case_images: fig2-2050313X241264952
case_images: On further evaluation for fever and anorexia, computed tomography (CT) abdomen was performed, which revealed a hypodense segment in the pancreas involving the distal body and tail suspicious of malignancy (Figure 1) but with multiple ring-enhancing lesions in the liver in favour of infectious aetiology rather than malignancy (Figures 2 and 3).
case_images: Computed tomography abdomen showing multiple ring-enhancing liver lesions (coronal section).
case_images: 10.1177_2050313X241264952-fig3.jpg
case_images: PMC11282560_01_10.1177_2050313X241264952-fig3.jpg
case_images: fig3-2050313X241264952
case_images: On further evaluation for fever and anorexia, computed tomography (CT) abdomen was performed, which revealed a hypodense segment in the pancreas involving the distal body and tail suspicious of malignancy (Figure 1) but with multiple ring-enhancing lesions in the liver in favour of infectious aetiology rather than malignancy (Figures 2 and 3).
case_images: Histology of the pancreas and the liver. (a) H&E staining magnification x400. (b) CK 7 magnification x200. (c) CK 19 magnification x200. (d) HepPar 1 magnification x400.
case_images: 10.1177_2050313X241264952-fig4.jpg
case_images: PMC11282560_01_10.1177_2050313X241264952-fig4.jpg
case_images: fig4-2050313X241264952
case_images: Hence, the CT-guided biopsy from the liver lesion was done and it confirmed metastatic deposits from known pancreatic adenocarcinoma (Figure 4).