case_images: PMC11585532_01
case_images: (A-D) Contrast-enhanced selected axial and coronal CT images of the abdomen revealing the uncinate process and part of the head of the pancreas. (red arrow). The rest of the pancreas appears absent, instead occupied by the retroperitoneal fat (green arrows) anterior to the splenic vein (purple arrow). The duct of Santorini accessing the minor papilla (white arrow) and the duct of Wirsung (black arrow) communicating with the major duodenal papilla (blue arrow) of the duodenum (blue asterisk). Foci of dense calcifications present within the ventral pancreas (orange arrow). The distal common bile duct (yellow arrow) and portal vein (white arrow) are noted.
case_images: gr1.jpg
case_images: PMC11585532_01_gr1.jpg
case_images: fig0001
case_images: Instead, the retroperitoneal fat replaces the lacking portion of the pancreas (Figs. 1A-D).
case_images: (A-G) Contrast-enhanced selected axial and coronal CT images of the abdomen demonstrating variable-sized calcifications at the uncinate/head of the pancreas (orange arrows) and an irregular cavity near the calcification (blue arrows). A portion of the ventral pancreas (red arrow) is appreciated. The retroperitoneal fat (green arrow) occupies the anatomic location of the dorsal pancreas. The Wirsung (black arrow) and Santorini ducts (white arrow) can be visualized clearly. Anatomic structures including the common bile duct (yellow arrow), duodenum (blue asterisk), and portal vein (purple arrow) are visible.
case_images: gr2b.jpg
case_images: PMC11585532_01_gr2b.jpg
case_images: fig0002
case_images: There were multifocal dense calcifications with an irregular cavity in the ventral pancreas, marking the features of chronic pancreatitis (Figs. 2A-G).