A Case of Mucinous Ductal Ectasia of the Pancreas Presented with Acute Pancreatitis.
- Author:
Ung Suk YANG
1
;
Chul Soo SONG
;
Mong CHO
;
Sung Min PARK
;
Geun Am SONG
;
Sa Woong KIM
;
Gwang Ho KIM
;
Byung Jin KIM
;
Jeong HEO
Author Information
1. Department of Internal Medicine, College of Medicine, Pusan National University, Pusan, Korea.
- Publication Type:Case Report
- Keywords:
Mucinous ductal ectasia;
Pancreas;
Acute pancreatitis
- MeSH:
Ampulla of Vater;
Amylases;
Diagnosis;
Dilatation;
Dilatation, Pathologic*;
Duodenoscopy;
Head;
Humans;
Lipase;
Mucins*;
Pancreas*;
Pancreatic Ducts;
Pancreatitis*;
Plasma;
Tomography, X-Ray Computed;
Ultrasonography
- From:Korean Journal of Gastrointestinal Endoscopy
1997;17(4):574-580
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
We have experienced a case of mucinous ductal ectasia of the pancreas. The patient visited hospital with the symptoms of acute pancreatitis. The plasma levels of amylase and lipase checked at hospital were elevated. Abdominal ultrasonography and CT scan showed cystlike, intrapancreatic defects localized in the uncinate process of pancreatic head, On duodenoscopy, bulging ampulla of Vater and patulous papillary orifice were seen. Mucin leaked out of the patulous opening. Endoscopic retrograde pancreatography was performed and the localized, grape-like cyatic dilatation of the side branch of a main pancreatic duct on the uncinate process was shown. The main pancreatic duct was also dilated and had multiple filling defects in it. Whipple' s operation was performed and the histologic diagnosis was a benign intraductal papillary mucinous neoplasm of the pancreas.
