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Reactive duodenal changes in chronic pancreatitis simulating the contiguous spread of pancreatic carcinoma

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Summary

Reactive duodenal changes including marked mucosal friability and nodularity were seen endoscopically in a patient with chronic pancreatitis and pseudocysts. These changes simulated the contiguous spread of cancer of the pancreas. In addition, their presence led to an unusual complication of endoscopic retrograde cholangiopancreatography (ERCP), a submucosal injection producing a portal venogram. The presence of marked mucosal friability may be a relative contraindication to performing ERCP in such patients.

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References

  1. Belber JP: Bulbar duodenoscopy, techniques and pathology. Gastrointestinal Pan-Endoscopy. LH Berry (ed), Springfield, Charles C Thomas, 1974, p 374

    Google Scholar 

  2. Wald A, Milligan FD: The role of fiberoptic endoscopy in the diagnosis and management of duodenal neoplasms. Am J Dig Dis 20:499–505, 1975

    Google Scholar 

  3. Eaton SB, Ferrucci JT: Radiology of the Pancreas and Duodenum. Philadelphia, WB Saunders, 1974, p 357

    Google Scholar 

  4. Johnson JR, Zintel HA: Pancreatic calcification and cancer of the pancreas. Surg Gynecol Obstet 117:585–588, 1963

    Google Scholar 

  5. Guien C: General radiology of the pancreas. Clin Gastroenterol 1:61–83, 1972

    Google Scholar 

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Authors and Affiliations

  1. Section of Gastroenterology, Department of Medicine, The University of Chicago Pritzker School of Medicine, 950 East 59 Street, Box 400, 60637, Chicago, Illinois

    Michael O. Blackstone MD & Hiroshi Mizuno MD

Authors
  1. Michael O. Blackstone MD
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  2. Hiroshi Mizuno MD
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Blackstone, M.O., Mizuno, H. Reactive duodenal changes in chronic pancreatitis simulating the contiguous spread of pancreatic carcinoma. Digest Dis Sci 22, 658–661 (1977). https://doi.org/10.1007/BF01073090

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  • DOI: https://doi.org/10.1007/BF01073090

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