Pancreatitis-Mimicking Pancreatic Cancer with Duodenal Obstruction: A Case Report.
10.7704/kjhugr.2016.16.1.42
- Author:
A Reum CHOE
1
;
Ki Nam SHIM
;
Tae Oh KIM
;
Sang Eun YOON
;
Seog Ki MIN
;
Min Sun CHO
Author Information
1. Department of Internal Medicine, Ewha Womans University School of Medicine, Seoul, Korea. shimkn@ewha.ac.kr
- Publication Type:Case Report
- Keywords:
Pancreatic neoplasms;
Pancreatitis;
Duodenal obstruction
- MeSH:
Abdominal Pain;
Adenocarcinoma;
Biopsy;
Diagnosis;
Duodenal Obstruction*;
Endoscopy, Digestive System;
Gastric Bypass;
Head;
Humans;
Inflammation;
Jaundice;
Male;
Pancreas;
Pancreatic Neoplasms*;
Pancreaticoduodenectomy;
Pancreatitis;
Pancreatitis, Chronic;
Pylorus;
Tomography, X-Ray Computed;
Ultrasonography;
Vomiting
- From:The Korean Journal of Helicobacter and Upper Gastrointestinal Research
2016;16(1):42-45
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Pancreatic cancer tends to be delayed in diagnosis because of the lack of early symptom and less than 20% of patients present with resectable masses. A 95-year-old male visited due to recurrent abdominal pain and vomiting. About 2 years ago, a polypoid lesion was detected at the post-bulbar area on esophagogastroduodenoscopy for medical check-up. Endoscopic biopsy noted chronic inflammation with glandular atypia. On the CT scan, there was an intraluminal polypoid mass lesion with mixed hypodensity at the duodenal second portion. Ultrasound guided biopsy targeting the hypodense lesion was performed and revealed chronic pancreatitis. The vomiting persisted and the patient received a palliative gastrojejunostomy. Twenty-five days after gastrojejunostomy, jaundice occurred and an ill-defined mass at the pancreas head was noted on the CT. Pylorus preserving pancreatoduodenectomy was performed and a 3.5 cm sized, moderate to poorly differentiated ductal adenocarcinoma of pancreas head was diagnosed. Nineteen days after operation, the patient was discharged in good condition.
