Fig. 17
From: Imaging of non-neoplastic duodenal diseases. A pictorial review with emphasis on MDCT
A 56-year-old man with history of alcohol abuse and smoking presented with weight loss. a Axial contrast-enhanced CT reveals cystic dystrophy with multiple cystic parietal areas (arrows) in the thickened second duodenal portion causing severe duodenal obstruction with gastric dilation (*). Atrophy of the pancreatic parenchyma and strictures of the pancreatic duct (short arrow) due to chronic pancreatitis. b Detail from the upper gastrointestinal endoscopy study showing extrinsic compression of the duodenal lumen