This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Pancreas, Subject name: Surgery
Pancreaticoduodenectomy is not indicated in: 
Select and explain. 
A. Multiple cyst and calcifications in head of the pancreas, B. Duodenal cancer, C. Failed drainage procedure for chronic pancreatitis, D. Ampullary carcinoma with secondaries in peritoneum
D: Ampullary carcinoma with secondaries in peritoneum
Answer: D: Ampullary carcinoma with secondaries in peritoneum 
Explanation: Pancreaticoduodenectomy Indications Contraindications Carcinoma head of pancreas & Ampullary carcinoma Cystic tumors of pancreas Chronic pancreatitis Duodenal carcinoma Common bile duct cancer(Cholangiocarcinoma) Mucinous cystadenoma Pancreatic trauma Metastatic disease in abdominal cavity or nearby organ