Pancreatic head adenocarcinoma with choledocoduodenal fistula

Discussion:

Pancreatic duct adenocarcinoma was found on biopsy. The tumor invades the 2nd part of the duodenum and CBD forming a choledocoduodenal fistua that results in massive pneumobilia and presence of oral contrast within the dilated bile ducts. It was staged as T3N0M1

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