Repeating regional acute pancreatitis in the head of the pancreas caused by intraductal papillary mucinous neoplasms in the tail: report of a case

被引：3

作者：

Asari, Sadaki ^{[1
]}

Matsumoto, Ippei ^{[1
]}

Toyama, Hirochika ^{[1
]}

Shinzeki, Makoto ^{[1
]}

Goto, Tadahiro ^{[1
]}

Shirakawa, Sachiyo ^{[1
]}

Yamada, Isamu ^{[1
]}

Ajiki, Tetsuo ^{[1
]}

Fukumoto, Takumi ^{[1
]}

Ito, Tomoo ^{[2
]}

Ku, Yonson ^{[1
]}

机构：

[1] Kobe Univ, Grad Sch Med, Dept Surg, Div Hepatobiliary Pancreat Surg,Chuo Ku, Kobe, Hyogo 6500017, Japan

[2] Kobe Univ, Grad Sch Med, Dept Pathol, Chuo Ku, Kobe, Hyogo 6500017, Japan

来源：

SURGERY TODAY | 2012年 / 42卷 / 04期

关键词：

Acute pancreatitis; IPMN; EUS; PREDICTORS; CARCINOMA; RESECTION; TUMORS;

D O I：

10.1007/s00595-012-0142-8

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Intraductal papillary mucinous neoplasm (IPMN) of the pancreas is a distinct entity characterized by papillary proliferations of mucin-producing epithelial cells with excessive mucin production and cystic dilatation of the pancreatic ducts. The clinical presentation often involves recurrent episodes of pancreatitis associated with the temporal obstruction of the main pancreatic duct caused by the hypersecretion of mucin. We herein describe a case in which the patient repeatedly experienced the occurrence of idiopathic acute pancreatitis in the head of the pancreas over a 9-year period, and who was ultimately was cured by distal pancreatectomy for IPMNs in the pancreatic tail. This case illustrates the potential pitfalls in the diagnosis of IPMNs owing to a discrepancy between the site of pancreatitis and that of the IPMN. The possible mechanisms linking acute pancreatitis with the formation of IPMNs are also reviewed.

引用

页码：398 / 402

页数：5

共 15 条

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