Successful outcome of retrograde pancreatojejunostomy for chronic pancreatitis and infected pancreatic cysts: A case report

Figure 1 Computed tomography images. A: Stent in the pancreatic duct (orange arrowhead) and large stone in the pancreas head (dotted line circle); B: Expanded main pancreatic duct (orange arrowhead) and thinning of pancreatic parenchyma (dotted line circle); C: Multiple pancreatic cysts of the hilum of the spleen and the posterior lateral segment of the liver; D: White arrowhead showing a fistula connected to the stomach from the infected pancreatic cysts.

Figure 2 Magnetic resonance cholangiopancreatography images. A: Cysts showing low intensity in T1-weighted images (dotted line circles); B: Cysts showing high signal in diffusion weighted images (dotted line circles).

Figure 3 Endoscopic retrograde pancreatography images. There was a large pancreatic stone in the pancreas head (dotted line circles), expanded main pancreatic duct (dotted orange arrowhead), and a pancreatic cyst in the pancreas tail (orange arrowheads).

Figure 4 Scheme of surgery. A: A large stone in the pancreas head; B: Expanded main pancreatic duct; C: Incision line of the pancreatic parenchyma; D: Infected pancreatic cysts; E: Anastomosis of pancreatojejunostomy; F: External pancreatic stent; G: Roux-en-Y anastomosis.