A 62-year-old man with findings of chronic iron deficiency anemia and weight loss. Symptoms included intermittent rectal bleeding alternated with black stools.
A 62-year-old man presented with findings of chronic iron deficiency anemia. Symptoms included intermittent rectal bleeding alternated with black stools.
History
Physical exam remarkable for cachectic man with more than 20 pounds weight loss. No lymphadenopathy.
Findings
Upper and lower endoscopy remarkable for severe esophagitis. CT with findings of duplicated pancreas, with annular configuration of the duplication causing gastric outlet obstruction.
CT Axial
MRI confirmed tissue arising ventrally from the pancreatic body, with typical pancreatic cobblestoning. Isointense to the pancreatic parenchyma in all sequences.
MRI Axial
The antroduodenum was encircled demonstrating abundant intraluminal ingested material admixed with fluid throughout stomach. No peripancreatic inflammatory changes or fluid collections. No lymphadenopathy was identified.
Treatment
Patient was treated symptomatically. Iron supplement and MTV were added to therapy. Marked increased in HGB (From 7 to 12 G/DL with almost normal MCV). CMP without significant lytes disturbance.
Hiram Ortega-Cruz, MD, is a gastroenterology fellow, VA Caribbean Health Care System (VACHS), San Juan , PR.
Eduardo Acosta-Pumarejo, MD is on the radiology staff, VACHS, San Juan , PR.
SNMMI: Can 18F-Fluciclovine PET/CT Bolster Detection of PCa Recurrence in the Prostate Bed?
June 24th 2025In an ongoing prospective study of patients with biochemical recurrence of PCa and an initial negative PSMA PET/CT, preliminary findings revealed positive 18F-fluciclovine PET/CT scans in over 54 percent of the cohort, according to a recent poster presentation at the SNMMI conference.
Could an Emerging PET Tracer be a Game Changer for Detecting Hepatocellular Carcinoma?
June 23rd 2025In addition to over 90 percent sensitivity in detecting hepatocellular carcinoma (HCC), the glypican-3 (GPC3) targeted PET tracer 68Ga-aGPC3-scFv appeared to be advantageous in identifying HCC tumors smaller than one centimeter, according to pilot study findings presented at the SNMMI conference.
SNMMI: What a New Meta-Analysis Reveals About Radiotracers for PET/CT Detection of PCa
June 22nd 2025While (68Ga)Ga-PSMA-11 offers a pooled sensitivity rate of 92 percent for prostate cancer, (18F)-based radiotracers may offer enhanced lesion detection as well as improved imaging flexibility, according to a meta-analysis presented at the Society for Nuclear Medicine and Molecular Imaging (SNMMI) conference.