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Fig. 11A. —54-year-old man 16 days after Whipple procedure. Axial CT scans show soft-tissue cuff around celiac (white arrow, A) and superior mesenteric (black arrow, B) arteries. This finding is also seen with Frey's and Puestow procedures and distal pancreatectomy and probably represents postoperative perivascular edema or fibrosis. In absence of preoperative vascular cuffing, finding in first few months after surgery should not be regarded as suspicious for tumor presence. Note postoperative pneumobilia (arrowhead, A).