Ct evaluation following whipple procedure: Potential pitfalls in interpretation

David A. Bluemke, Elliot K. Fishman, Janet Kuhlman

Research output: Contribution to journalArticlepeer-review

22 Scopus citations


A series of 41 CT examinations in 14 patients who had undergone a Whipple procedure for pancreatic cancer followed by adjuvant chemotherapy and radiation therapy were reviewed to determine the spectrum of CT findings, as well as to identify potential sources of error in interpretation. Thickening of the wall of the gastric antrum and proximal duodenum from 5 to 10 mm (9 of 14 patients) occurred as early as 1 month after completion of radiotherapy and simulated recurrent tumor. Unopacified anastomotic bowel loops in the portahepatis in 23 of 41 examinations (56%) also mimicked recurrent tumor or ad enopathy. Five of 14 patients showed liver metastases and 4 of 14 had recurrent disease in the pancreatic bed. Pneumobilia (33 of 41 examinations) was a frequent normal finding.

Original languageEnglish (US)
Pages (from-to)704-708
Number of pages5
JournalJournal of computer assisted tomography
Issue number5
StatePublished - Sep 1992


  • Computed tomography
  • Pancreas
  • Radiation treatment
  • Whipple procedure

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging


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