Document Detail

A case of intraductal papillary mucinous neoplasm of the pancreas rupturing both the stomach and duodenum.
MedLine Citation:
PMID:  19922925     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: 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. OBJECTIVE: We experienced a very rare case and make personal remarks based on bibliographical consideration. DESIGN: Case report. SETTING: National Defense Medical College. PATIENT: A patient with IPMN. INTERVENTION: EGD, ERCP, and pancreatoduodenectomy. CONCLUSIONS: 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.
Motonori Shimizu; Atsushi Kawaguchi; Shigeaki Nagao; Hideaki Hozumi; Shunsuke Komoto; Ryota Hokari; Soichiro Miura; Kazuo Hatsuse; Sho Ogata
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Publication Detail:
Type:  Case Reports; Journal Article; Review     Date:  2009-11-17
Journal Detail:
Title:  Gastrointestinal endoscopy     Volume:  71     ISSN:  1097-6779     ISO Abbreviation:  Gastrointest. Endosc.     Publication Date:  2010 Feb 
Date Detail:
Created Date:  2010-02-15     Completed Date:  2010-05-19     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0010505     Medline TA:  Gastrointest Endosc     Country:  United States    
Other Details:
Languages:  eng     Pagination:  406-12     Citation Subset:  IM    
Department of Internal Medicine, National Defense Medical College, Saitama, Japan.
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MeSH Terms
Adenocarcinoma, Mucinous / secondary*,  surgery
Carcinoma, Pancreatic Ductal / secondary*,  surgery
Carcinoma, Papillary / secondary*,  surgery
Cholangiopancreatography, Endoscopic Retrograde / methods
Duodenal Neoplasms / complications,  secondary*,  surgery
Endosonography / methods
Follow-Up Studies
Magnetic Resonance Imaging
Neoplasm Invasiveness / pathology
Pancreatic Neoplasms / pathology*,  surgery
Pancreaticoduodenectomy / methods
Rare Diseases
Risk Assessment
Rupture, Spontaneous / etiology,  surgery
Stomach Neoplasms / complications,  secondary*,  surgery
Tomography, X-Ray Computed
Treatment Outcome

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