case_images: PMC2373905_01
case_images: ERCP films show the proximal common bile duct stricture and dilated
  distal biliary tree.
case_images: HPB2008-374602.001.jpg
case_images: PMC2373905_01_HPB2008-374602.001.jpg
case_images: fig1
case_images: At ERCP, the CBD was cannulated, the biliary dilation was again noted and a 2 cm-long biliary stricture was detected (see Figure 1).
case_images: CT with contrast (arterial phase) showing the mass
  at the head of the pancreas (PM) and dilated common bile duct (dCBD).
case_images: HPB2008-374602.002.jpg
case_images: PMC2373905_01_HPB2008-374602.002.jpg
case_images: fig2
case_images: A CT scan on the same admission confirmed a heterogeneous mass 2 cm in diameter in the pancreatic head (and the biliary dilatation) (see Figure 2).
case_images: Pancreaticoduodenectomy resection specimen, showing sectioning (in
  the plane of the black dotted line) of the second part of the duodenum (D), the
  common bile duct (CBD), the site of the previously impacted gall stone
  calculus (IGS), the biliary stricture (blue dotted line) and pancreatic
  abscess cavity (PA).
case_images: HPB2008-374602.003.jpg
case_images: PMC2373905_01_HPB2008-374602.003.jpg
case_images: fig3
case_images: The macroscopic pathological specimen is shown in Figure 3 below.