A case of intraductal papillary mucinous neoplasm of the pancreas rupturing both the stomach and duodenum

Gastrointestinal Endoscopy
Motonori ShimizuSho Ogata

Abstract

Intraductal papillary mucinous neoplasm (IPMN) of the pancreas may extend to other organs. However, it is rare for a histopathologically benign IPMN to rupture other organs, particularly multiple organs. There has been no report of a benign IPMN rupturing both the stomach and duodenum. We experienced a very rare case and make personal remarks based on bibliographical consideration. Case report. National Defense Medical College. A patient with IPMN. EGD, ERCP, and pancreatoduodenectomy. We report a case of benign IPMN of the pancreas extending to two adjacent organs. A 77-year-old male who was diagnosed as having IPMN by CT, MRI, upper GIF, and ERCP underwent pancreatoduodenectomy for a mass of 4.2 cm in diameter. Pathological examinations revealed that the IPMN was composed of adenoma. Intraluminal nodular growth was observed in the duodenal gland tissue, and abnormal growth was observed in the fistula to the stomach. According to a literature review based on PubMed data up until March 2009, it is rare for a benign IPMN to penetrate two adjacent organs.

References

Jul 1, 1991·Cancer·M YamadaY Tsukamoto
Apr 28, 2007·World Journal of Gastroenterology : WJG·Seung Eun LeeSun-Whe Kim
Oct 23, 2008·The Surgeon : Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland·D R CarpizoM F Brennan

❮ Previous
Next ❯

Citations

Jun 16, 2010·Journal of Gastroenterology·Go KobayashiTakashi Sawai
May 1, 2012·International Journal of Surgery Case Reports·Afshin MohammadiMohammad Ghasemi-Rad
Oct 27, 2016·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Kwangwoo Nam, Jun-Ho Choi
Mar 20, 2018·Minerva gastroenterologica e dietologica·Pablo Cortegoso ValdiviaClaudio De Angelis
Apr 19, 2019·Internal Medicine·Keigo AshitaniHiroyuki Imaeda
Mar 5, 2020·AJR. American Journal of Roentgenology·Daniel Fadaei FouladiSatomi Kawamoto
May 11, 2012·Acta Radiologica·Sang Won KimDal Mo Yang
Nov 25, 2020·Internal Medicine·Hideaki TakahashiTakao Endo

❮ Previous
Next ❯

Related Concepts

Related Feeds

Carcinoma, Ductal

Ductal carcinoma is a malignant neoplasm involving the ductal systems of any of a number of organs, such as the mammary glands, pancreas, prostate or lacrimal gland. Discover the latest research on ductal carcinoma here.