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Unklare Gewichtsabnahme, Übelkeit und eine abdominelle Raumforderung

Unclear weight loss, nausea and an abdominal space-occupying lesion

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Zusammenfassung

Muzinös-zystische Neoplasien (MZN) und die Differenzialdiagnose intraduktale papillär-muzinöse Neoplasien (IPMN) sind häufige Pankreasneubildungen mit steigender Prävalenz. Bei Letzteren kommt es häufig zu rezidivierenden Schüben einer chronischen Pankreatitis. Wir berichten von einer 89-jährigen Altersheimpatientin, die wegen Übelkeit, Gewichtsabnahme und Luftnot in unsere Klinik eingewiesen wurde. Das hohe Lebensalter, die Pankreatitiden in der Vorgeschichte und die muzinöse Sekretion aus der Papille sprechen bei dieser Patientin klar für ein IPMN.

Abstract

Mucinous cystic neoplasia (MCN) and the differential diagnosis of intraductal papillary mucinous neoplasia (IPMN) are common neoplasias of the pancreas with increasing prevalence. The latter often result in recurrent episodes of chronic pancreatitis. We report on an 89-year-old patient who was admitted from a home for the elderly to our hospital with nausea and shortness of breath. The advanced age, previous history of pancreatitis and mucinous secretion from the papillae were obvious symptoms of IPMN in this patient.

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Authors and Affiliations

  1. Klinik für Gastroenterologie, Hepatologie und gastroenterologische Onkologie, Klinikum Bogenhausen, Städt. Kliniken München GmbH, Englschalkingerstr. 77, 81925, München, Deutschland

    M. Gemeinhardt, H. Seidl, J. Türck & W. Schepp

  2. Institut für diagnostische und interventionelle Radiologie und Nuklearmedizin, Klinikum Bogenhausen, München, Deutschland

    T. Helmberger

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  1. M. Gemeinhardt
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  2. H. Seidl
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  3. J. Türck
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  4. T. Helmberger
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  5. W. Schepp
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Correspondence to M. Gemeinhardt.

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Gemeinhardt, M., Seidl, H., Türck, J. et al. Unklare Gewichtsabnahme, Übelkeit und eine abdominelle Raumforderung. Gastroenterologe 5, 134–137 (2010). https://doi.org/10.1007/s11377-010-0412-1

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  • DOI: https://doi.org/10.1007/s11377-010-0412-1

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