Clinical Ultrasound 2024;9(1):38-41

doi:10.18525/cu.2024.9.1.38

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

Daejin KIM 1 ; Hanjun RYU ; Hyunsoo KIM ; Changkeun PARK ; Jaekwon JUNG ; Jongmin KIM ; Jeonghoon SONG ; Jaewon LEE

Affiliations

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Country

Republic of Korea

Language

Korean

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.