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Insights into Imaging
Fig. 21 | Insights into Imaging

Fig. 21

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

Fig. 21

Hepaticojejunostomy stenosis. Two different patients (a) 67-year-old male patient with pancreaticoduodenectomy due to cholangiocarcinoma. All images below to normal postoperative control MRI. (a, b) one month after surgery (c, d) 7 months control. Note the caliber reduction in hepaticojejunostomy due to thickness of hepatic bile duct (curved arrows). Intraoperative cholangiography confirmed total hepaticojejunostomy stenosis (not shown) (b) 59-year-old male patient with abdominal discomfort and unexplained weight loss two years after pancreaticoduodenectomy owing to adenocarcinoma. CT scan denotes abrupt intrahepatic biliary stenosis (dotted arrow) due to ill-defined mass (big arrow). PET/CT fusion confirms local tumor recurrence as causal of stenosis

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