Clin Ultrasound.  2024 May;9(1):38-41. 10.18525/cu.2024.9.1.38.

Visualization of Pancreatic Tail Cancer with Liver Metastasis through Abdominal Transsplenic Scan

Affiliations
  • 1Department of Internal Medicine, Daegu Fatima Hospital, Daegu, Korea

Abstract

Pancreatic cancer typically presents as a focal hypoechoic, hypovascular solid mass with irregular margins on ultrasound. Pancreatic tail disease can be difficult to detect on abdominal ultrasonography. A 75-year-old man visited our institution with upper abdominal pain. We successfully visualized a pancreatic tail mass on abdominal transsplenic scan and multiple liver masses via abdominal transverse scan. His diagnosis was confirmed as pancreatic tail cancer with liver metastasis following endoscopic ultrasound-guided fine-needle biopsy. Abdominal transsplenic scan proved valuable for diagnosing pancreatic tail disease because abdominal ultrasound has limited utility for evaluating pancreatic tail masses due to obscuration by bowel gas.

Keyword

Pancreatic cancer; Pancreatic tail; Spleen; Ultrasonography; 췌장암; 췌장 미부; 비장; 초음파
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