Fig. 3. Recurrent pancreatic adenocarcinoma in a patient having previously undergone Whipples procedure. (A) Fluoroscopic image shows complex stricture at bilio-enteric anastomosis (black arrow) extending into afferent (white arrow) and blind loop (arrowhead). (B) Differentiation between afferent and efferent loops is only possible when contrast is seen to pass distally (white arrow). (C) Coronal computed tomography (CT) scan demonstrates ‘C’ sign of obstructed afferent loop (arrowhead). (D) Axial CT shows gas in a dilated biliary tree (white arrow) due to culture proven Candida.

Gastrointestinal Intervention 2016;5:129~137 https://doi.org/10.18528/gii160019

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