A Case of Serous Cystadenoma Communicating with a Stenotic Santorini’s Duct and a Dilated Main Pancreatic Duct

2016 ◽  
Vol 25 (4) ◽  
pp. 551-554
Author(s):  
Hiroyuki Matsubayashi ◽  
Yurika Oka ◽  
Takaaki Ito ◽  
Katsuhiko Uesaka ◽  
Keiko Sasaki ◽  
...  
Keyword(s):  
Pancreatic Duct ◽  
Endoscopic Ultrasonography ◽  
Intraductal Papillary Mucinous Neoplasm ◽  
Main Pancreatic Duct ◽  
Serous Cystadenoma ◽  
Endoscopic Retrograde Pancreatography ◽  
Endoscopic Retrograde ◽  
Cystic Neoplasms ◽  
Pancreas Head ◽  
Mucinous Neoplasm

A 59-year-old woman was referred for investigation of a pancreatic cystic lesion. Computed tomography revealed a well-demarcated, multilocular cyst, approximately 4 cm in size, at the pancreas head. Endoscopic ultrasonography demonstrated honeycomb-like components at the cyst margin. The cyst was associated with a widely-dilated upstream main pancreatic duct (MPD). Endoscopic retrograde pancreatography demonstrated a communication between the stenotic Santorini‘s duct and the cyst. Aspiration cytology from the cyst demonstrated clusters of mucinous epithelial neoplasm cells. Branch-type intraductal papillary mucinous neoplasm, possibly invading to the MPD, was suspected and pancreatoduodenectomy was performed. Surprisingly, pathology of the resected pancreas showed mixed-type serous cystadenoma. Abbreviations: CA19-9: cancer antigen 19-9; CEA: carcinoembryonic antigen; ERC: endoscopic retrograde cholangiography; ENPD: endoscopic naso-pancreatic drainage ; ERP: endoscopic retrograde pancreatography; EUS: endoscopic ultrasonography; NET: neuroendocrine tumor; FNA: fine needle aspiration; IPMN: intraductal papillary mucinous neoplasm; MRCP: magnetic resonance cholangiopancreatography; MPD: main pancreatic duct; SCA: serous cystic neoplasms.

scholarly journals Utility of endoscopic transpapillary pancreatic cyst drainage for intraductal papillary mucinous neoplasm infection

2021 ◽  
Vol 14 (6) ◽  
pp. e242583
Author(s):  
Shunsuke Watanabe ◽  
Masao Toki ◽  
Junji Shibahara ◽  
Tadakazu Hisamatsu
Keyword(s):  
Intraductal Papillary Mucinous Neoplasm ◽  
Cyst Wall ◽  
Pancreatic Cyst ◽  
Epigastric Pain ◽  
Drainage Tube ◽  
Endoscopic Drainage ◽  
Endoscopic Retrograde Pancreatography ◽  
Endoscopic Retrograde ◽  
Mucinous Neoplasm ◽  
Route Of Infection

A 61-year-old woman with intraductal papillary mucinous neoplasm (IPMN) infection, who was treated with antibiotics, developed IPMN reinfection with febrile epigastric pain and was febrile. CT showed that the diameter of the IPMN had grown and hardened, with thickening of the cyst wall. Endoscopic retrograde pancreatography was then performed and a nasopancreatic cyst drainage tube was placed into the cyst. Symptoms and inflammatory findings improved considerably 17 days after endoscopic drainage. Few reports and evidence have been found regarding IPMN infections, and the frequency of onset, route of infection and optimal drainage method remain unknown. This study indicated that endoscopic transpapillary pancreatic cyst drainage was effective and is highly recommended for IPMN infection.

The distance of tumor spread in the main pancreatic duct of an intraductal papillary-mucinous neoplasm: where to resect and how to predict it

2010 ◽  
Vol 17 (4) ◽  
pp. 516-522 ◽  
Author(s):  
Ken-ichi Okada ◽  
Toshihide Imaizumi ◽  
Kenichi Hirabayashi ◽  
Masahiro Matsuyama ◽  
Naoki Yazawa ◽  
...  
Keyword(s):  
Pancreatic Duct ◽  
Intraductal Papillary Mucinous Neoplasm ◽  
Main Pancreatic Duct ◽  
Tumor Spread ◽  
Mucinous Neoplasm

Role of SpyGlass-DS tm in the preoperative assessment of pancreatic intraductal papillary mucinous neoplasm involving the main pancreatic duct

Pancreatology ◽  
2018 ◽  
Vol 18 (5) ◽  
pp. 566-571 ◽  
Author(s):  
Takao Ohtsuka ◽  
Yoshitaka Gotoh ◽  
Yohei Nakashima ◽  
Yoshifumi Okayama ◽  
So Nakamura ◽  
...  
Keyword(s):  
Pancreatic Duct ◽  
Intraductal Papillary Mucinous Neoplasm ◽  
Main Pancreatic Duct ◽  
Preoperative Assessment ◽  
Mucinous Neoplasm ◽  
Spyglass Ds

Nonoperative Management of Main Pancreatic Duct–Involved Intraductal Papillary Mucinous Neoplasm Might Be Indicated in Select Patients

2014 ◽  
Vol 219 (1) ◽  
pp. 122-129 ◽  
Author(s):  
Alexandra M. Roch ◽  
John M. DeWitt ◽  
Mohammad A. Al-Haddad ◽  
Christian M. Schmidt ◽  
Eugene P. Ceppa ◽  
...  
Keyword(s):  
Pancreatic Duct ◽  
Intraductal Papillary Mucinous Neoplasm ◽  
Main Pancreatic Duct ◽  
Nonoperative Management ◽  
Mucinous Neoplasm

scholarly journals Intraductal papillary mucinous neoplasm complicated with intraductal bleeding in a young woman mimicked a cystic solid pseudo-papillary tumor: a case report

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Jianman Wu ◽  
Yin Lin ◽  
Jingwen Wu
Keyword(s):  
Pancreatic Duct ◽  
Young Woman ◽  
Intraductal Papillary Mucinous Neoplasm ◽  
Main Pancreatic Duct ◽  
Pancreatic Head ◽  
Preoperative Imaging ◽  
Moderate Degree ◽  
Cystic Wall ◽  
Mucinous Neoplasm ◽  
Ct And Mri

Abstract Background There are only 6 cases of intraductal papillary mucinous neoplasm (IPMN) complicated with intraductal hemorrhage have been reported in English literatures. All these 6 cases of IPMN occurred in the old people. The present rare case of IPMN complicated with intraductal hemorrhage occurred in a young woman, and mimicked a cystic solid pseudo-papillary neoplasm (SPN) on preoperative imaging findings. Case presentation A 29-year-old young woman complained of a sustained mild right upper quadrant abdominal pain. CT and MRI showed a lobulated, partly ill-defined cystic lesion located in the pancreatic head. Spotted calcification within cystic wall was seen on CT. The lesion was demonstrated as predominantly homogeneous hyperattenuation on CT and homogeneous high signal without decreased signal on fat suppression sequence on T1WI. After contrast administration, the cystic wall and septa of lesion was showed gradually mild to moderate degree of enhancement over time both on CT and MRI. No communication between lesion and the main duct was found on MRCP and the main pancreatic duct and common bile duct were not dilated. Considering patient’s age, gender and manifestations of lesion on CT and MRI (calcification, bleeding and gradually enhanced pattern), the present case mimicked as a cystic SPN. The lesion was pathologically confirmed a branch type IPMN after surgical resection. Conclusion We propose that IPMN may need to be taken into account in the differential diagnosis when pancreatic cystic lesions occur in young women with bleeding, calcification, progressive enhancement of cystic wall and no communication with the main pancreatic duct.

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