Association of Chronic Pancreatitis and Malignant Main Duct IPMN: A Rare but Difficult Clinical Problem
We report the case of a 70-year-old woman who consulted for recurrent short episodes of mild-to-moderate abdominal pain. Dilated main pancreatic duct was seen on CAT scan and magnetic resonance, with multiple calcifications and intraductal stones, typical in CP. However, for a more pronounced cystic...
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| Format: | Article |
| Language: | English |
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Wiley
2017-01-01
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| Series: | Case Reports in Gastrointestinal Medicine |
| Online Access: | http://dx.doi.org/10.1155/2017/8705195 |
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| author | Zoltán Berger Hernán De La Fuente Manuel Meneses Fernanda Matamala Makarena Sepúlveda Claudia Rojas |
| author_facet | Zoltán Berger Hernán De La Fuente Manuel Meneses Fernanda Matamala Makarena Sepúlveda Claudia Rojas |
| author_sort | Zoltán Berger |
| collection | DOAJ |
| description | We report the case of a 70-year-old woman who consulted for recurrent short episodes of mild-to-moderate abdominal pain. Dilated main pancreatic duct was seen on CAT scan and magnetic resonance, with multiple calcifications and intraductal stones, typical in CP. However, for a more pronounced cystic dilatation in the pancreatic head, we could not exclude the coexistence of a main duct IPMN. ERCP was performed, with pancreatic sphincterotomy and extraction of pancreatic stones, but, at the same time, mucin extrusion was seen from the dilated duct through the papilla. Pancreatoduodenectomy was performed. Surgery and histology confirmed malignant IPMN with the typical image of chronic pancreatitis and intraductal stones in the vicinity. The patient is doing well 4 years after the surgery, without recurrence of the malignant disease, with changes of chronic pancreatitis in the pancreatic remnant. This paper discusses the possible relationships between the two entities and emphasizes the need of differential diagnosis. |
| format | Article |
| id | doaj-art-e4cbfc001bfc4f0a9e2fb0ce0426e7f2 |
| institution | Kabale University |
| issn | 2090-6528 2090-6536 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Gastrointestinal Medicine |
| spelling | doaj-art-e4cbfc001bfc4f0a9e2fb0ce0426e7f22025-02-03T01:21:21ZengWileyCase Reports in Gastrointestinal Medicine2090-65282090-65362017-01-01201710.1155/2017/87051958705195Association of Chronic Pancreatitis and Malignant Main Duct IPMN: A Rare but Difficult Clinical ProblemZoltán Berger0Hernán De La Fuente1Manuel Meneses2Fernanda Matamala3Makarena Sepúlveda4Claudia Rojas5Departamento Medicina, Sección Gastroenterología, Hospital Clínico Universidad de Chile, Santiago, ChileClínica Santa María, Santiago, ChileFundación Arturo López Pérez, Santiago, ChileUniversidad Andres Bello, Santiago, ChileUniversidad de los Andes, Santiago, ChileUniversidad de los Andes, Santiago, ChileWe report the case of a 70-year-old woman who consulted for recurrent short episodes of mild-to-moderate abdominal pain. Dilated main pancreatic duct was seen on CAT scan and magnetic resonance, with multiple calcifications and intraductal stones, typical in CP. However, for a more pronounced cystic dilatation in the pancreatic head, we could not exclude the coexistence of a main duct IPMN. ERCP was performed, with pancreatic sphincterotomy and extraction of pancreatic stones, but, at the same time, mucin extrusion was seen from the dilated duct through the papilla. Pancreatoduodenectomy was performed. Surgery and histology confirmed malignant IPMN with the typical image of chronic pancreatitis and intraductal stones in the vicinity. The patient is doing well 4 years after the surgery, without recurrence of the malignant disease, with changes of chronic pancreatitis in the pancreatic remnant. This paper discusses the possible relationships between the two entities and emphasizes the need of differential diagnosis.http://dx.doi.org/10.1155/2017/8705195 |
| spellingShingle | Zoltán Berger Hernán De La Fuente Manuel Meneses Fernanda Matamala Makarena Sepúlveda Claudia Rojas Association of Chronic Pancreatitis and Malignant Main Duct IPMN: A Rare but Difficult Clinical Problem Case Reports in Gastrointestinal Medicine |
| title | Association of Chronic Pancreatitis and Malignant Main Duct IPMN: A Rare but Difficult Clinical Problem |
| title_full | Association of Chronic Pancreatitis and Malignant Main Duct IPMN: A Rare but Difficult Clinical Problem |
| title_fullStr | Association of Chronic Pancreatitis and Malignant Main Duct IPMN: A Rare but Difficult Clinical Problem |
| title_full_unstemmed | Association of Chronic Pancreatitis and Malignant Main Duct IPMN: A Rare but Difficult Clinical Problem |
| title_short | Association of Chronic Pancreatitis and Malignant Main Duct IPMN: A Rare but Difficult Clinical Problem |
| title_sort | association of chronic pancreatitis and malignant main duct ipmn a rare but difficult clinical problem |
| url | http://dx.doi.org/10.1155/2017/8705195 |
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