Metachronous cancer of gallbladder and pancreas with pancreatobiliary maljunction

Figure 1 Magnetic resonance imaging. A: Pancreaticobiliary maljunction variety I of Kimura; B: Pancreaticobiliary maljunction with cystic dilatation of common bile duct (Type I of Todani).

Figure 2 Histological examination. A: Involvement of the cystic dilatation of common bile duct by the adenocarcinoma of gallbladder; B: Lymph node involvement by the adenocarcinoma of gallbladder.

Figure 3 Abdominal CT: low-density mass in the pancreatic head. A: Arterial phase; B: Portal phase. CT: Computed tomography.

Figure 4 (He × 250): Microscopic findings: two components of the pancreatic carcinoma, the squamous one and the glandular one.