Pancreaticogastric Fistula Due to Infiltration of a Mixed Type Intrapapillary Mucinous Neoplasia of the Pancreas.


Journal

Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract
ISSN: 1873-4626
Titre abrégé: J Gastrointest Surg
Pays: United States
ID NLM: 9706084

Informations de publication

Date de publication:
02 2019
Historique:
received: 08 05 2018
accepted: 15 05 2018
pubmed: 31 5 2018
medline: 17 4 2020
entrez: 31 5 2018
Statut: ppublish

Résumé

A 68-year-old asymptomatic patient was incidentally diagnosed with an intraductal papillary mucinous neoplasia (IPMN) of the pancreas with a pancreaticogastric fistula. He had a history of a right sided nephrectomy due to a renal cell carcinoma 9 years before. The patient underwent an uneventful total pancreatectomy and wedge resection of the stomach. The patient's medical history was studied and compared to recent literature via PubMed. Pathohistological evaluation confirmed a mixed type IPMN of an intestinal subtype with pancreaticogastric fistula. Pancreaticogastric fistula due to benign IPMN is extremely rare. Surgical resection including wedge resection of the stomach is the treatment of choice.

Sections du résumé

BACKGROUND
A 68-year-old asymptomatic patient was incidentally diagnosed with an intraductal papillary mucinous neoplasia (IPMN) of the pancreas with a pancreaticogastric fistula. He had a history of a right sided nephrectomy due to a renal cell carcinoma 9 years before. The patient underwent an uneventful total pancreatectomy and wedge resection of the stomach.
METHODS
The patient's medical history was studied and compared to recent literature via PubMed.
RESULTS
Pathohistological evaluation confirmed a mixed type IPMN of an intestinal subtype with pancreaticogastric fistula.
CONCLUSION
Pancreaticogastric fistula due to benign IPMN is extremely rare. Surgical resection including wedge resection of the stomach is the treatment of choice.

Identifiants

pubmed: 29845567
doi: 10.1007/s11605-018-3823-9
pii: 10.1007/s11605-018-3823-9
doi:

Types de publication

Case Reports Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

379-380

Références

Radiology. 2006 Feb;238(2):560-9
pubmed: 16436817
Digestion. 2010;82(1):42-6
pubmed: 20203511
Ann R Coll Surg Engl. 2011 Jul;93(5):e32-4
pubmed: 21943443

Auteurs

Andreas Minh Luu (AM)

Department of General and Visceral Surgery, St. Josef Hospital, Ruhr-University Bochum, Gudrunstraße 56, 44791, Bochum, Germany. a.luu@klinikum-bochum.de.

Theodor Lutz (T)

Department of Radiology, St. Josef Hospital, Ruhr-University Bochum, Bochum, Germany.

Waldemar Uhl (W)

Department of General and Visceral Surgery, St. Josef Hospital, Ruhr-University Bochum, Gudrunstraße 56, 44791, Bochum, Germany.

Chris Braumann (C)

Department of General and Visceral Surgery, St. Josef Hospital, Ruhr-University Bochum, Gudrunstraße 56, 44791, Bochum, Germany.

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