Pancreatico-gastric fistulas due to intraductal papillary mucinous neoplasm (IPMN).
نویسندگان
چکیده
An 84-year-old Japanese man presented with abdominal fullness and anorexia in September 2006. Computed tomography demonstrated extension of the stomach and the duodenum with a thickened wall. It showed marked dilatation of the main pancreatic duct (MPD) (A; arrowhead) and fistulization into the stomach (A; arrow) and the duodenum (B; arrow). Endoscopic examination demonstrated the skip ulcerations with abundant volume of mucin at posterior wall of upper stomach (C; arrow) and the bulbus (D; arrow) and the 2nd portion of the duodenum. Mucinous discharge from the ulcerative regions suggested that they are the orifices of fistu-
منابع مشابه
Difficulty in management of intraductal papillary mucinous neoplasm-associated pancreatobiliary fistulas and the role of “pig-nose” appearance and intraductal ultrasonography in diagnosis
Pancreatobiliary fistulas associated with intraductal papillary mucinous neoplasms (IPMN) often develop obstructive jaundice and cholangitis; thus, early diagnosis is important. However, computed tomography and cholangiography, the current methods for detecting pancreatobiliary fistulas, are not always effective. We previously reported a case of IPMN-associated pancreatobiliary fistula and prop...
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ورودعنوان ژورنال:
- Internal medicine
دوره 47 6 شماره
صفحات -
تاریخ انتشار 2008