Pancreatic head resection alongside side-to-side pancreatic duct-jejunostomy for pancreatic stones: A case report and review of literature

Figure 1 Preoperative and postoperative imaging images. A: Preoperative plain computed tomography (CT) scan. As indicated by the orange arrows, high-density stones were predominantly located in the pancreatic duct of the pancreatic head; B: Preoperative plain CT scan. As indicated by the orange arrows, multiple high-density stones were scattered in the main pancreatic duct of the pancreatic body and tail; C: Preoperative coronal contrast-enhanced CT scan of the pancreatic head. As indicated by the orange arrows, high-density stones were scattered in the pancreatic duct and pancreatic parenchyma; D: Postoperative plain CT scan of the pancreatic head; E: Postoperative plain CT scan of the pancreatic body and tail; F: Postoperative plain CT scan of the anastomosis. As shown by the orange arrow, no pancreatic duct stones were found at the pancreatic duct-jejunostomy; G: T2-weighted magnetic resonance imaging (MRI) scan of the pancreatic head. As indicated by the orange arrows, a nodular filling defect is observed in the pancreatic duct; H: T2-weighted MRI scan of the pancreatic body. As indicated by the orange arrows, multiple nodular filling defects are observed in the pancreatic duct; I: MRI shows multiple low-intensity signal nodules in the main pancreatic duct.