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Case 72¹

¹ From the Department of Radiology, Centro Medico Teknon, C/ Vilana 12, 08022 Barcelona, Spain. Received December 3, 2001; revision requested February 15, 2002; revision received February 6, 2003; accepted May 13, 2003. Address correspondence to J.C.P. (e-mail: radiologia@cmteknon.com).

Index terms: Diagnosis Please

	HISTORY

TOP HISTORY

 
A 32-year-old man presented with abdominal pain and distention and bloating. His white blood cell count and amylase serum levels were normal. No history of malignancy or pancreatic disease was known to exist. A ventriculoperitoneal shunt had been placed 15 years earlier to treat hydrocephalus secondary to spina bifida.

The patient underwent supine abdominal radiography (Fig 1) and unenhanced abdominal computed tomography (CT) (Fig 2).

View larger version (138K): [in this window] [in a new window] [Download PPT slide]   Figure 1. Supine abdominal radiograph. Nasogastric tube was placed because of the patient’s symptoms.

View larger version (128K): [in this window] [in a new window] [Download PPT slide]   Figure 2a. Unenhanced, midabdominal transverse CT scans obtained (a) through the uncinate process of the pancreas, (b) through the third duodenal portion, and (c) at a level 2 cm below the lower pole of both kidneys.

View larger version (129K): [in this window] [in a new window] [Download PPT slide]   Figure 2b. Unenhanced, midabdominal transverse CT scans obtained (a) through the uncinate process of the pancreas, (b) through the third duodenal portion, and (c) at a level 2 cm below the lower pole of both kidneys.

View larger version (121K): [in this window] [in a new window] [Download PPT slide]   Figure 2c. Unenhanced, midabdominal transverse CT scans obtained (a) through the uncinate process of the pancreas, (b) through the third duodenal portion, and (c) at a level 2 cm below the lower pole of both kidneys.

	FOOTNOTES

 
E-mail the most likely diagnosis to dxplease@rsna.org (use only for submission of diagnosis). Include case number, your name (as you would want it to appear in the journal), address, phone and fax numbers. Only one case, one name, and one diagnosis per e-mail submission. Multiple diagnoses, multiple submissions, submissions without a case number will not be considered. Deadline: Midnight U.S. Central Time, May 15, 2004. Answer will appear in the July issue. Authors wishing to submit cases for Diagnosis Please should first write to the Editor to obtain approval for the case and further information.

This Article Figures Only Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via Google Scholar Google Scholar Articles by Pernas, J. C. Articles by Catala, J. Search for Related Content PubMed Articles by Pernas, J. C. Articles by Catala, J.