A Resected Case of Pancreatic Head Cancer with Fatty Replacement of Panceatic Body and Tail

A 73-year-old woman diagnosed with pancreatic body and tail deficiency by CT and ERCP was admitted for obstructive jaundice. She underwent surgery based on a diagnosis of pancreatic head cancer with pancreatic body and tail deficiency after further examination. Surgery showed thick fatty replacement at the site corresponding to the pancreatic body and tail. We dissected the pancreas and fatty replacement at the left ventral site of the portal vein and subtotal stomach-preserving pancreaticoduodenectomy without pancreatic reconstruction was performed. After surgery, her panceratic endocrine function was good because the islets of Langerhans remained sporadically in the fatty replacement of the pancreatic body and tail.