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

Surgery Today volume 41, pages 281–284 (2011)Cite this article

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 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.

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Authors and Affiliations

  1. Department of Surgery, UKM Medical Centre, Cheras, 8th floor, 50480, Kuala Lumpur, Malaysia

    Jan Jin Bong

  2. Department of Histopathology, Hammersmith Hospital, Imperial College Healthcare NHS Trust, London, UK

    Jayson Wang

  3. Department of HPB Surgery, Hammersmith Hospital, Imperial College Healthcare NHS Trust, London, UK

    Jan Jin Bong & Duncan R. Spalding

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  1. Jan Jin Bong
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  2. Jayson Wang
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  3. Duncan R. Spalding
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Bong, J.J., Wang, J. & Spalding, D.R. Pancreatobiliary and pancreatoduodenal fistulae in intraductal papillary mucinous neoplasm of the pancreas: Report of a case. Surg Today 41, 281–284 (2011). https://doi.org/10.1007/s00595-009-4217-0

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  • DOI: https://doi.org/10.1007/s00595-009-4217-0

Key words

  • Pancreatic neoplasm
  • Adenocarcinoma mucinous
  • Adenocarcinoma papillary
  • Fistula