X Ray with contrast of Whipple procedure with recurrent tumor

                     Liver infarction is not unusual in patients who have undergone resection of the portal vein and/or superior mesenteric vein, with an incidence of 70% reported in one series. In the later postoperative period, recurrent disease, either in the pancreatic bed or in the liver, is best identified on CT imaging. Recurrent tumor in the region of the surgical bed and liver metastases commonly develop, and the survival rate for pancreatic cancer remains dismal.

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“radiology images of Supine film from an upper GI” series performed 4 months after surgery shows partial gastric outlet obstruction and irregular narrowing of the gastrojejunal anastomosis from recurrent tumor.

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