Current controversies and advances in the management of pancreatic adenocarcinoma

Figure 2 Malignant biliary obstruction from mass in the head of pancreas causing common bile duct and pancreatic duct dilation (double-duct sign) on endoscopic ultrasound and magnetic resonance cholangiopancreatography[21]. A: Endoscopic ultrasound; B: Magnetic resonance cholangiopancreatography, note the distended gallbladder, seen in patients with malignant biliary obstruction (Courvoisier’s sign). Citation: Porta M, Fabregat X, Malats N, Guarner L, Carrato A, de Miguel A, Ruiz L, Jariod M, Costafreda S, Coll S, Alguacil J, Corominas JM, Solà R, Salas A, Real FX. Exocrine pancreatic cancer: symptoms at presentation and their relation to tumour site and stage. Clin Transl Oncol 2005; 7: 189-197. Copyright© The Authors 2005. Published by Springer Nature.