Abstract:
:Intraductal papillary mucinous neoplasms (IPMNs) of the pancreas present more commonly in the elderly. This report describes a case of IPMN in a 36-year-old man who presented with obstructive jaundice and weight loss. The initial investigation by computed tomography scan revealed a cystic lesion in the head of pancreas fistulating into the duodenum and the common bile duct (CBD). Subsequent endoscopic retrograde cholangiopancreatography revealed a low CBD stricture with proximal filling defects. Mucin was observed extruding from the biliary orifice following an endoscopic sphincterotomy. A classic Whipple's pancreatoduodenectomy was performed to excise the lesion. A histological examination of the lesion confirmed the presence of a malignant IPMN of the pancreas complicated by pancreatobiliary and pancreatoduodenal fistulae.
journal_name
Surg Todayjournal_title
Surgery todayauthors
Bong JJ,Wang J,Spalding DRdoi
10.1007/s00595-009-4217-0subject
Has Abstractpub_date
2011-02-01 00:00:00pages
281-4issue
2eissn
0941-1291issn
1436-2813journal_volume
41pub_type
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