Clinical Study

Pancreas-Preserving Approach to “Paraduodenal Pancreatitis” Treatment: Why, When, and How? Experience of Treatment of 62 Patients with Duodenal Dystrophy

Figure 17

Duodenal dystrophy with moderate chronic orthotopic pancreatitis. Patient, 35 y.o. Arterial phase of multidetector computed tomography before (a) and 6 months after (b) the pancreas-preserving resection of the second portion of the duodenum with the jejunal interposition. (a) Dilation of the pancreatic and bile ducts on the background of chronic inflammation and compression of pancreatic parenchyma (arrow). (b) Narrowing of the dilated pancreatic duct and reduction of inflammation in the pancreatic head and body (arrow).
185265.fig.0017a
(a)
185265.fig.0017b
(b)