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Fig.12 | Insights into Imaging

Fig.12

From: Imaging assessment after pancreaticoduodenectomy: reconstruction techniques—normal findings and complications

Fig.12

Perivascular cuffing vs. tumor recurrence. CT challenge. Two different patients (a) 81-year-old male patient three weeks after pancreaticoduodenectomy due to ampulloma. (b) 45-year-old male patient with fever 21 days after pancreaticoduodenectomy due to adenocarcinoma. Soft-tissue imaging in the surgical bed (thick white arrows), in both cases strict follow-up was required. In patient A, the focal fat stranding has markedly resolved (thin arrow): while in patient B persists without significant change after a year (dotted arrow). PET/CT shows hypercaptation mass, which confirms tumor recurrence (arrowhead)

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