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CHAPTER 110: Pancreas Imaging

Mariano M Volpacchio; Catherine A D’Agostino; Sofia Bakken; Christopher J Palestro; Robin J Warshawsky; Gregory M Grimaldi; John S Pellerito; Ernesto P Molmenti

ORTHOTOPIC PANCREAS TRANSPLANT— PORTAL (SUPERIOR MESENTERIC) VENOUS DRAINAGE (FIGURES 110-1 TO 110-14)

FIGURE 110-1

Computed tomography scans of pancreas (green arrows) transplants with venous drainage into the superior mesenteric and portal vein. Note that the pancreas is implanted onto the superior mesenteric vein close to its junction with the portal vein. The transverse colon and its mesentery lie ventral to the pancreas allograft, and the root of the small bowel mesentery lies dorsal to it. The native pancreas is also dorsal with respect to the allograft.

A CT scan of the abdomen highlights the pancreas in the left upper quadrant. The leaf-like structure of the pancreas is pointed by an arrow. The transverse colon, small bowel mesentery, superior mesenteric, portal vein, and urinary bladder are identified in the computed tomography scan.
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FIGURE 110-2

Computed tomography scans of pancreas (green arrows) transplants with venous drainage into the superior mesenteric and portal vein. Note that the pancreas is implanted onto the superior mesenteric vein close to its junction with the portal vein. The transverse colon and its mesentery lie ventral to the pancreas allograft, and the root of the small bowel mesentery lies dorsal to it. The native pancreas is also dorsal with respect to the allograft.

A CT scan of the abdomen highlights the pancreas using an arrow in the upper quadrant. The liver and the urinary bladder are identified in the scan.
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FIGURE 110-3

In these images, it is possible to visualize the metallic clips in the duodenum, whose lumen is opacified with oral contrast in a pancreas transplant with portal venous drainage. The head of the transplanted pancreas is shown by an arrow (Figure 110-3). Notice the atrophic native kidneys.

A CT scan of the abdomen highlights the head of the pancreas in the upper left quadrant. The computed tomography scan identifies metallic clips in the duodenum and the urinary bladder in the lower quadrant. The kidneys are identified between the pancreas and the bladder.
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FIGURE 110-4

In these images, it is possible to visualize the metallic clips in the duodenum, whose lumen is opacified with oral contrast in a pancreas transplant with portal venous drainage. The head of the transplanted pancreas is shown by an arrow (Figure 110-3). Notice the atrophic native kidneys.

A CT scan of the abdomen highlights the metallic clips in the duodenum. "The computed tomography scan identifies the urinary bladder in the lower quadrant. The kidneys are identified between the pancreas and the bladder."
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FIGURE 110-5

Sequential axial computed tomography images showing a mildly enlarged pancreas allograft (green arrows) and its duodenal stump (yellow arrows). Notice the extensive aortoiliac atheromatous calcifications in this diabetic patient.

A CT scan of the abdomen highlights the enlarged pancreas in the upper left quadrant. The liver, duodenum, right kidney, and urinary bladder are identified in the computed tomography scan. The enlarged structure of the pancreas is pointed using an arrow.
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FIGURE 110-6

Sequential axial computed tomography images showing a mildly enlarged pancreas allograft (green arrows) and its duodenal stump (yellow arrows). Notice the extensive aortoiliac atheromatous calcifications in this diabetic patient.

A CT scan of the abdomen highlights the enlarged pancreas in the upper left quadrant. The liver, duodenum, and urinary bladder are identified in the computed tomography scan. The enlarged structure of the pancreas is pointed using an arrow.
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FIGURE 110-7

Sequential axial computed tomography images showing a mildly enlarged pancreas allograft (green arrows) and its duodenal stump (yellow arrows). Notice the extensive aortoiliac atheromatous calcifications in this diabetic patient.

A CT scan of the abdomen highlights the enlarged pancreas and its duodenal stump in the upper left quadrant. The duodenum and the urinary bladder are identified in the computed tomography scan along with widespread calcifications in the iliac artery. The enlarged structure of the pancreas is pointed using an arrow.
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FIGURE 110-8

Sequential axial computed tomography images showing a mildly enlarged pancreas allograft (green arrows) and its duodenal stump (yellow arrows). Notice the extensive aortoiliac atheromatous calcifications in this diabetic patient.

A CT scan of the abdomen highlights the enlarged pancreas in the upper left quadrant. A small, duodenal stump is located on the pancreas. The duodenum and the urinary bladder are also identified in the computed tomography scan. The enlarged structure of the pancreas and the duodenal stump are pointed using arrows.
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FIGURE 110-9

Axial ...

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