Anomalous hepatic arterial anatomy discovered during pancreaticoduodenectomy.

Introduction: A number of variations in hepatic arterial anatomy have been described. Anomalous arterial supply is of particular relevance to the hepatobiliary, pancreatic or liver transplant surgeon.

Case Report: We describe the case of a 57-year-old gentleman who presented with painless obstructive jaundice and was found to have a mass in the head of the pancreas.

Solid pseudopapillary tumour of the pancreas: diverse presentation, outcome and histology.

Context: Solid pseudopapillary tumour of the pancreas is an uncommon tumour, which predominantly occurs in young females and is of unknown origin.

Case Report: We describe five cases with diverse clinical and/or histological features, including one unusually aggressive case resulting in early death.

Conclusion: There is great variability in the presentation and clinical course of these tumours with further research needed to define their histogenesis and biological behaviour.

Open transduodenal stenting as an option to failed endotherapy in pancreatic ascites.

Context: Pancreatic ascites is rare and thought to be due to rupture of a pancreatic pseudocyst, main pancreatic duct disruption or leakage from an unknown site.

Case Report: We report the case of a 33-year-old gentleman with a history of chronic alcoholic pancreatitis who presented with pancreatic ascites and was successfully treated with open transduodenal stenting and pancreatic and biliary sphincteroplasty.

Conclusion: Open transduodenal stenting is an option to failed endotherapy in pancreatic ascites.