Spontaneous gastro-pancreatic fistula – a hitherto unknown natural history of IPMN?
نویسندگان
چکیده
Intraductal papillary mucinous neoplasm (IPMN) is a distinct group of benign pancreatic neoplasms often discovered incidentally on imaging. Apart from their malignant potential, little is known about their natural history as most are surgically resected. We report an unusual presentation and possible natural history of IPMN in a patient who refused surgery and hence was on regular follow up.
منابع مشابه
Pancreatic Fistula Extending into the Thigh Caused by the Rupture of an Intraductal Papillary Mucinous Adenoma of the Pancreas
We herein report the first case of a pancreatic fistula extending into the thigh caused by the rupture of an intraductal papillary mucinous neoplasm (IPMN) of the pancreas. An 80-year-old man was suspected to have necrotizing fasciitis because of right femoral pain. Computed tomography showed fluid retention from the pancreatic head to the right iliopsoas muscle and an IPMN at the pancreatic he...
متن کاملNatural History of Branch Duct Intraductal Papillary Mucinous Neoplasm With Mural Nodules
OBJECTIVE This study aimed to elucidate the natural history of intraductal papillary mucinous neoplasm (IPMN) of the pancreas with mural nodules (MNs) in branch duct IPMN (BD-IPMN). METHODS Among the 402 registered patients with BD-IPMN on long-term follow-up at 10 institutions in Japan, 53 patients with MNs of less than 10 mm in height detected by endosonography were included in this study. ...
متن کامل[Intraductal papillary mucinous neoplasms of the pancreas in Hospital Nacional Guillermo Almenara Irigoyen, Lima, Peru].
OBJECTIVE To analyze retrospectively the clinical, radiologic and pathologic features as well as the surgical results of the patients with diagnosis of intraductal papillary mucinous neoplasms of the pancreas (IPMN). MATERIALS AND METHODS Patients with diagnosis of IPMN who underwent pancreatectomy were identified from January 2006 to September 2013, using the prospective data base of the Pan...
متن کاملAutoimmune pancreatitis presenting a short narrowing of main pancreatic duct with subsequent progression to diffuse pancreatic enlargement over 24 months; natural history of autoimmune pancreatitis.
CONTEXT Initial pancreatogram and natural history of autoimmune pancreatitis (AIP) have not been clarified, and there were few recent studies concerning the association between AIP and intraductal papillary mucinous neoplasm (IPMN). CASE REPORT We report an 81-year- old man with AIP associated with IPMN. Although the initial pancreatogram was normal, a short narrowing of the main pancreatic d...
متن کاملIdentification of intraductal papillary mucinous neoplasm by esophagogastroduodenoscopy.
Some reports have described identification of intraductal papillary mucinous neoplasm (IPMN) penetrating to the stomach by esophagogastroduodenoscopy (EGD) [1–4]. However, it seems that detecting an IPMN from within a postoperative pancreatogastric fistula is very rare. A 71-year-old man presented with slight fever. Hehad ahistoryof acutepancreatitis and underwent cystogastrostomy for pancreati...
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عنوان ژورنال:
دوره 2012 شماره
صفحات -
تاریخ انتشار 2012