Fig. 3
From: Elucidating early CT after pancreatico-duodenectomy: a primer for radiologists
Expected CT findings following uncomplicated PD performed for pT3N0 adenocarcinoma of the Vaterian ampulla. Contrast-enhanced CT (a-c) showed distended stomach (o) with stagnant fluid despite nasogastric intubation (thick arrows), consistent with delayed gastric emptying (DGE); normal appearance of the PR (arrowheads), the MJL and the PJS with low-attenuation stent (thin arrow) in the main pancreatic duct (MPD). In the coronal image (c) the nasogastric tube (thick arrow) courses through the GJS. Fluoroscopy (d) confirmed DGE with persistently dilated stomach (o) with stagnant oral CM