Fig. 4. Photographs of the operation and specimen. (A) Inflammation of the head portion of the pancreas was not severe. (B) An endoscopic retrograde pancreatic duct (ERPD) stent was observed during separation of the pancreas from surrounding tissues (arrow), and a total pancreatectomy was performed because of severe inflammation. (C) An ERPD stent perforating the pancreas was observed in the surgical specimen (arrow). (D) A perforated hole in the pancreatic duct was observed in a specimen obtained following removal of the ERPD stent (arrow).
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