1. Pancreatobiliary and pancreatoduodenal fistulae in intraductal papillary mucinous neoplasm of the pancreas: report of a case.
- Author
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Bong JJ, Wang J, and Spalding DR
- Subjects
- Adult, Humans, Male, Adenocarcinoma, Mucinous complications, Adenocarcinoma, Papillary complications, Biliary Fistula etiology, Duodenal Diseases etiology, Intestinal Fistula etiology, Pancreatic Fistula etiology, Pancreatic Neoplasms complications
- Abstract
Intraductal papillary mucinous neoplasms (IPMNs) of the pancreas present more commonly in the elderly. This report describes a case of IPMN in a 36-year-old man who presented with obstructive jaundice and weight loss. The initial investigation by computed tomography scan revealed a cystic lesion in the head of pancreas fistulating into the duodenum and the common bile duct (CBD). Subsequent endoscopic retrograde cholangiopancreatography revealed a low CBD stricture with proximal filling defects. Mucin was observed extruding from the biliary orifice following an endoscopic sphincterotomy. A classic Whipple's pancreatoduodenectomy was performed to excise the lesion. A histological examination of the lesion confirmed the presence of a malignant IPMN of the pancreas complicated by pancreatobiliary and pancreatoduodenal fistulae.
- Published
- 2011
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