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Fig. 1I —67-year-old woman with worsening chronic nausea, vomiting, and
abdominal pain. Surgical pathology confirms intraductal papillary mucinous
neoplasm in annular pancreas. Photograph from gross pathology shows annular
portion of pancreas (arrows) and dilated duct surrounding duodenum.
Duct in annular portion was not seen on MRCP or ERCP because of obstructing
mucin.
