Fig. 3

Case example of a 55-year-old male suffering from beltlike abdominal pain with metabolic acidosis (pH 7.3), hypokalemia (2.8 mmol/l), weight loss, and diarrhea for the past three months. After induced infusion therapy to compensate for the electrolyte imbalance, dual-energy computed tomography was performed, showing a hypodense mass of approximately 3.3 × 3.4 × 6.6 cm located in the pancreatic tail with occasional calcifications and finally proven ductal adenocarcinoma (A, C, E). Additionally to tumor segmentation in different planes (B, D, F), the pancreatic mass is also shown in 3D (G)