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

被引：21

作者：

Shimizu, Motonori ^{[1
]}

Kawaguchi, Atsushi ^{[1
]}

Nagao, Shigeaki ^{[1
]}

Hozumi, Hideaki ^{[1
]}

Komoto, Shunsuke ^{[1
]}

Hokari, Ryota ^{[1
]}

Miura, Soichiro ^{[1
]}

Hatsuse, Kazuo ^{[2
]}

Ogata, Sho ^{[3
]}

机构：

[1] Natl Def Med Coll, Dept Internal Med, Div Gastroenterol & Hepatol, Saitama, Japan

[2] Natl Def Med Coll, Dept Surg, Saitama, Japan

[3] Natl Def Med Coll, Dept Clin Pathol, Saitama, Japan

来源：

GASTROINTESTINAL ENDOSCOPY | 2010年 / 71卷 / 02期

关键词：

TUMOR;

D O I：

10.1016/j.gie.2009.09.018

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

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 adeoma. 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.

引用

页码：406 / 412

页数：7

共 23 条

[1] Asano T., 2007, J JPN SURG ASS, V68, P2426
[2] Current management of cystic neoplasms of the pancreas
Carpizo, D. R.
Allen, P. J.
Brennan, M. F.
[J]. SURGEON-JOURNAL OF THE ROYAL COLLEGES OF SURGEONS OF EDINBURGH AND IRELAND, 2008, 6 (05): : 298 - 307
[3] Iida M., 2008, TAN, V29, P793
[4] Mucin-producing tumor of the pancreas associated with pyothorax: Report of a case
Inoue, M
Ikeda, Y
Kikui, M
Ogawa, T
Yasumitsu, T
[J]. SURGERY TODAY, 2001, 31 (06) : 538 - 541
[5] Kamiya Y., 1988, J JPN SOC GASTROENTE, V85, P338
[6] Kashimura J., 2002, PROGR DIG ENDOSC, V62, P116
[7] KIMURA W, 2006, IGAKUNOAYUMI DIGESTI, P367
[8] Kobayashi G, 1993, Nihon Shokakibyo Gakkai Zasshi, V90, P3081
[9] KOBAYASHI G, 2008, MOD PHYS, V28, P1539
[10] Post-ERCP pancreatogastric fistula associated with an intraductal papillary-mucinous neoplasm of the pancreas - A case report and literature review
Koizumi M.
Sata N.
Yoshizawa K.
Tsukahara M.
Kurihara K.
Yasuda Y.
Nagai H.
[J]. World Journal of Surgical Oncology, 3 (1)

← 1 2 3 →