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Spontaneous Development of Acute Obstructive Suppurative Pancreatic Ductitis Associated with Pancreatic Carcinoma: A First Case Report
- 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.
- Subjects :
- Male
medicine.medical_specialty
main pancreatic duct obstruction
Case Report
Adenocarcinoma
Gastroenterology
03 medical and health sciences
0302 clinical medicine
Internal medicine
Edema
Enterobacter cloacae
Internal Medicine
medicine
Humans
Aged
Pancreatic duct
Cholangiopancreatography, Endoscopic Retrograde
Suppuration
pancreatic carcinoma
business.industry
bacterial infection
Pancreatic Ducts
General Medicine
medicine.disease
Pancreatic Neoplasms
Stenosis
medicine.anatomical_structure
Pancreatitis
030220 oncology & carcinogenesis
Pancreatic juice
Acute Disease
Acute pancreatitis
030211 gastroenterology & hepatology
acute obstructive suppurative pancreatic ductitis
medicine.symptom
Pancreas
business
Tomography, X-Ray Computed
Subjects
Details
- Language :
- English
- ISSN :
- 13497235 and 09182918
- Volume :
- 57
- Issue :
- 9
- Database :
- OpenAIRE
- Journal :
- Internal Medicine
- Accession number :
- edsair.doi.dedup.....73ee81e8e73396ef527f97ddeea64aef