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Spontaneous Development of Acute Obstructive Suppurative Pancreatic Ductitis Associated with Pancreatic Carcinoma: A First Case Report

Authors :
Masahiro Ogawa
Shigeoki Hayashi
Hiroshi Nakagawara
Mitsuhiko Moriyama
Takuji Gotoda
Akio Yanagisawa
Kenji Yamao
Noriko Kinukawa
Kunio Iwatsuka
Akihiro Hemmi
Source :
Internal Medicine
Publication Year :
2017
Publisher :
The Japanese Society of Internal Medicine, 2017.

Abstract

A 68-year-old man with a history of diabetes mellitus was admitted to our hospital with a diagnosis of acute pancreatitis. Abdominal computed tomography revealed a suspicious tumor in the body of the pancreas, along with a dilated main pancreatic duct and edema of the pancreatic tail. Endoscopic retrograde pancreatography was performed after treating the patient's pancreatitis. When a cannula tip was advanced beyond the stenosis, deep into the distal pancreatic duct, thick white pus was evacuated. A bacteriological examination of the aspirated pancreatic juice revealed Enterobacter cloacae, and a cytological examination revealed adenocarcinoma. The diagnosis was acute obstructive suppurative pancreatic ductitis associated with pancreatic carcinoma.

Details

Language :
English
ISSN :
13497235 and 09182918
Volume :
57
Issue :
9
Database :
OpenAIRE
Journal :
Internal Medicine
Accession number :
edsair.doi.dedup.....73ee81e8e73396ef527f97ddeea64aef