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

Jan Jin Bong, Jayson Wang, Duncan R. Spalding

    Research output: Contribution to journalArticle

    2 Citations (Scopus)

    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 Whipples 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.

    Original languageEnglish
    Pages (from-to)281-284
    Number of pages4
    JournalSurgery Today
    Volume41
    Issue number2
    DOIs
    Publication statusPublished - Feb 2011

    Fingerprint

    Common Bile Duct
    Pancreatic Neoplasms
    Fistula
    Endoscopic Sphincterotomy
    Pancreaticoduodenectomy
    Obstructive Jaundice
    Endoscopic Retrograde Cholangiopancreatography
    Mucins
    Duodenum
    Weight Loss
    Pancreas
    Pathologic Constriction
    Tomography
    Neoplasms

    Keywords

    • Adenocarcinoma mucinous
    • Adenocarcinoma papillary
    • Fistula
    • Pancreatic neoplasm

    ASJC Scopus subject areas

    • Surgery

    Cite this

    Pancreatobiliary and pancreatoduodenal fistulae in intraductal papillary mucinous neoplasm of the pancreas : Report of a case. / Bong, Jan Jin; Wang, Jayson; Spalding, Duncan R.

    In: Surgery Today, Vol. 41, No. 2, 02.2011, p. 281-284.

    Research output: Contribution to journalArticle

    Bong, Jan Jin ; Wang, Jayson ; Spalding, Duncan R. / Pancreatobiliary and pancreatoduodenal fistulae in intraductal papillary mucinous neoplasm of the pancreas : Report of a case. In: Surgery Today. 2011 ; Vol. 41, No. 2. pp. 281-284.
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