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What’s wrong here? 👀🩻 Take a close look … 💨 Air inside the pancreatic duct — not something you see every day. 🔍 Why this matters: Air in the pancreatic duct is not normal and should always raise suspicion. 🧠 Possible explanations include: • Post-ERCP / sphincterotomy (most common) • Pancreatic duct stent • Pancreatic–enteric fistula • Infection or severe inflammation • Rarely: trauma or malignancy 📌 Ultrasound clues: • Hyperechoic linear or punctate echoes • Dirty shadowing / reverberation
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