A Case of Intraductal Papillary Mucinous Tumor of the Pancreas Presenting with Refractory Acute Pancreatitis.
- Author:
Sang Won CHI
1
;
Jun Pyo CHUNG
;
Young Nyun PARK
;
Se Joon LEE
;
Kwan Sik LEE
;
Byung Soo MOON
;
Si Young SONG
;
Jae Bock CHUNG
;
Sang In LEE
;
Jin Kyung KANG
;
Ki Whang KIM
;
Hoon Sang CHI
Author Information
1. Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Intraductal papillary mucinous tumor;
IPMT;
Acute pancreatitis
- MeSH:
Abdominal Pain;
Aged;
Ascites;
Carcinoma in Situ;
Dilatation;
Dilatation, Pathologic;
Female;
Follow-Up Studies;
Humans;
Mucins*;
Mucus;
Pancreas*;
Pancreatectomy;
Pancreatic Ducts;
Pancreatitis*
- From:Korean Journal of Gastrointestinal Endoscopy
2000;21(2):671-675
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The clinical presentation of intraductal papillary mucinous tumor (IPMT) of the pancreas is characterized by chronic or recurrent attacks of abdominal discomfort often in association with low level pancreatic enzyme elevations. The episodes of pancreatitis due to IPMT of the pancreas are usually mild in severity. Recently, however, we experienced a case of IPMT of the pancreas causing severe acute pancreatitis with a protracted course in a 65 year-old woman. Initially, she presented with pancreatic ascites and hyperenzynemia without duct ectasia and mucus extrusion through the papillary orifice. Refeeding caused aggravation of hyperenzynemia and abdominal pain. The 4th follow-up abdominal computed tomography taken about 2 months after admission only revealed marked dilatation of the main pancreatic duct. Distal pancreatectomy disclosed IPMT, combined type and carcinoma in situ histologically. The patient has been followed for 2 years after operation with an uneventful clinical course. We herein report a case of IPMT of the pancreas with an unusual presentation.
