Pancreatobiliary and pancreatoduodenal fistulae in intraductal papillary mucinous neoplasm of the pancreas: Report of a case

被引：7
作者：
Bong, Jan Jin [1 ,3 ]
Wang, Jayson [2 ]
Spalding, Duncan R. [3 ]
机构：
[1] Univ Kebangsaan Malaysia Med Ctr, Dept Surg, Kuala Lumpur 50480, Malaysia
[2] Imperial Coll Healthcare NHS Trust, Hammersmith Hosp, Dept Histopathol, London, England
[3] Imperial Coll Healthcare NHS Trust, Hammersmith Hosp, Dept HPB Surg, London, England
来源：
SURGERY TODAY | 2011年 / 41卷 / 02期
关键词：
Pancreatic neoplasm; Adenocarcinoma mucinous; Adenocarcinoma papillary; Fistula; POSITRON-EMISSION-TOMOGRAPHY; CYSTIC NEOPLASMS; TUMOR; DIAGNOSIS;
D O I：
10.1007/s00595-009-4217-0
中图分类号：
R61 [外科手术学];
学科分类号：
摘要：
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.
引用
收藏
页码：281 / 284
页数：4
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