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. 2025 Sep 8.
doi: 10.1007/s10140-025-02379-6. Online ahead of print.

Systematic approach to the post-Whipple CT: clinical cases and problem-solving strategies

Ceylan Colak  1 , Ahmad Parvinian  1 , Vamshi Mugu  1 , Kelly Horst  1 , Rebecca Hibbert  1 , James Boyum  1 , Christoph Wald  1 , Alex Chan  2
Affiliations

Systematic approach to the post-Whipple CT: clinical cases and problem-solving strategies

Ceylan Colak et al. Emerg Radiol. .

Abstract

Pancreaticoduodenectomy, also known as the classic Whipple procedure, is the most common surgical treatment for pancreatic adenocarcinoma. Postoperative complications are common and occur in approximately 50% of patients. Prompt detection and management of these complications is vital for improving patient outcomes. As such, radiologists must be familiar with the expected postoperative anatomy in these patients and adept at leveraging optimal imaging techniques to detect complications. This pictorial essay will provide radiologists in all practice settings a systematic approach in the evaluation of the post-pancreaticoduodenectomy CT.

Keywords: Computed Tomography; Pancreaticoduodenectomy; Postoperative complications; Whipple procedure.

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Conflict of interest statement

Declarations. Conflicts of interest: The authors have no conflicts of interest to disclose.

References

    1. Florentin LM, Dulcich G, López Grove R, Paladini JI, Spina JC (2022) Imaging assessment after pancreaticoduodenectomy: reconstruction techniques-normal findings and complications. Insights Imaging 13(1):170. https://doi.org/10.1186/s13244-022-01306-4 - DOI - PubMed - PMC
    1. Gaballah AH, Kazi IA, Zaheer A, Liu PS, Badawy M, Moshiri M, Ibrahim MK, Soliman M, Kimchi E, Elsayes KM (2024) Imaging after pancreatic surgery: expected findings and postoperative complications. Radiographics 44(1):e230061. https://doi.org/10.1148/rg.230061 - DOI - PubMed
    1. Raman SP, Horton KM, Cameron JL, Fishman EK (2013) CT after pancreaticoduodenectomy: spectrum of normal findings and complications. AJR Am J Roentgenol 201(1):2–13. https://doi.org/10.2214/AJR.12.9647 - DOI - PubMed
    1. Mazzola M, Calcagno P, Giani A, Maspero M, Bertoglio CL, De Martini P, Magistro C, Sgrazzutti C, Vanzulli A, Ferrari G (2022) Is routine CT scan after pancreaticoduodenectomy a useful tool in the early detection of complications? A single center retrospective analysis. Langenbecks Arch Surg 407(7):2801–2810. https://doi.org/10.1007/s00423-022-02599-1 - DOI - PubMed
    1. Yoon W, Jeong YY, Shin SS, Lim HS, Song SG, Jang NG, Kim JK, Kang HK (2006) Acute massive gastrointestinal bleeding: detection and localization with arterial phase multi-detector row helical CT. Radiology 239(1):160–167. https://doi.org/10.1148/radiol.2383050175 - DOI - PubMed

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