Fig. 5
From: Elucidating early CT after pancreatico-duodenectomy: a primer for radiologists
a-c Postoperative pancreatic fistula (PF) after Whipple PD for pT3N1 pancreatic ductal adenocarcinoma in a 72-year-old man with persistent output and increasing amylase levels in fluid from drainage. On postoperative day 9, CT (Fig.3) showed a mixed-attenuation collection (*) extending upwards from the PJS, between the PR (arrowheads) and MJL (arrows), consistent with clinico-biological diagnosis of PF. These CT changes ultimately resolved on conservative treatment. Note intrahepatic pneumobilia (in b), some small-sized lymph nodes (thin arrows) surrounding the superior mesenteric vessels. (Partially adapted with permission from Tonolini [25])