Malignant intraductal papillary mucinous neoplasm of the pancreas with multiple pancreatogastric fistulas: a report of 2 cases with different features

Kim, Ji Young; Kang, Dae Hwan; Kim, Gwang Ha; Kim, Tae Oh; Heo, Jeong; Song, Geun Am; Cho, Mong; Kim, Hwal Woong; Kim, Suk

doi:10.1016/j.gie.2007.01.019

Cited by 10 publications

(7 citation statements)

References 2 publications

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“…Fistula formation into other organs can occasionally occur in IPMN [4][5][6][7][8][9][10][11]. In the present study, among the IPMN patients who had been diagnosed by ERCP and EUS, fistula formation was observed in 6.6%.…”

Section: Discussionmentioning

confidence: 52%

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Intraductal papillary mucinous neoplasms of the pancreas showing fistula formation into other organs

et al. 2010

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Section: Discussionmentioning

confidence: 52%

“…In 39% of the patients with fistula formation, multiple neighboring organs were penetrated. Both multiple fistula formation simultaneously penetrating several adjacent organs and multiple fistulas in one organ have been reported [9][10][11][12].…”

Section: Discussionmentioning

confidence: 99%

Intraductal papillary mucinous neoplasms of the pancreas showing fistula formation into other organs

et al. 2010

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“…IPMN is partly characterized by expansive mucinous growth that may result in penetration into adjacent organs . The most common site of penetration is the duodenum (59%), followed by the common bile duct (51%) and stomach (17%) .…”

Section: Discussionmentioning

confidence: 99%

“…IPMN originates from pancreatic duct epithelium and is a well‐described adenoma carcinoma sequence. IPMN is partly characterized by expansive mucinous growth that may result in penetration into adjacent organs . We observed and diagnosed a case of IPMN penetrating to the stomach, duodenum, and jejunum.…”

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confidence: 99%

Intraductal papillary mucinous neoplasm penetrating to the stomach, duodenum, and jejunum demonstrated on MR cholangiopancreatography with an oral negative contrast agent

Tajima

Utano

Kijima

et al. 2012

J. Magn. Reson. Imaging

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A 65-year-old man was referred to our hospital due to epigastric pain. Abdominal enhanced computed tomography (CT) demonstrated marked dilatation of the main pancreatic duct (MPD) and communication to the gastric and duodenal lumen was suspected. Esophagogastroduodenoscopy (EGD) showed a villous tumor with white mucous discharge in the posterior wall of the gastric corpus and duodenal bulb. Pathological specimens showed mucin-producing epithelium with nuclear atypia that had developed in a papillary form. Based on these findings, we diagnosed intraductal papillary mucinous neoplasm (IPMN) arising in the MPD with penetration into the gastric and duodenal lumen. Magnetic resonance cholangiopancreatography (MRCP) with an oral negative contrast agent (manganese chloride tetrahydrate) showed a fistulous tract not only to the stomach and duodenum, but also to the jejunum. MRCP demonstrated mucous streaming with remarkably high intensity. In this case, an oral negative contrast agent was useful to distinguish mucous discharge from gastric fluid, facilitating the diagnosis of penetration to the jejunum. This finding was unobtainable by CT or EGD. When IPMN penetrating to other organs is suspected, MRCP with an oral negative contrast agent may provide important information.

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“…One of the characteristics of this disease is penetration (fistula formation) of neighboring organs such as the stomach, duodenum, and choledochus. [2][3][4][5][6][7] We had a chance to observe the site of penetration of the choledochus with peroral pancreatoscopy (POPS) in a patient with main duct IPMN of the pancreas. In a literature review in MEDLINE with the key words intraductal papillary mucinous neoplasm, penetration, and fistula identified, no such reports were found.…”

mentioning

confidence: 99%

Peroral pancreatoscopic images of the site of mechanical penetration of the choledochus combined with narrow-band imaging in a patient with main duct intraductal papillary mucinous neoplasm of the pancreas

Ogawa

Horaguchi

Fujita

et al. 2011

Gastrointestinal Endoscopy

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Malignant intraductal papillary mucinous neoplasm of the pancreas with multiple pancreatogastric fistulas: a report of 2 cases with different features

Cited by 10 publications

References 2 publications

Intraductal papillary mucinous neoplasms of the pancreas showing fistula formation into other organs

Intraductal papillary mucinous neoplasms of the pancreas showing fistula formation into other organs

Intraductal papillary mucinous neoplasm penetrating to the stomach, duodenum, and jejunum demonstrated on MR cholangiopancreatography with an oral negative contrast agent

Peroral pancreatoscopic images of the site of mechanical penetration of the choledochus combined with narrow-band imaging in a patient with main duct intraductal papillary mucinous neoplasm of the pancreas

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