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Journal of Gastrointestinal Surgery
Published in: Journal of Gastrointestinal Surgery 2/2019

01-02-2019 | GI Image

Pancreaticogastric Fistula Due to Infiltration of a Mixed Type Intrapapillary Mucinous Neoplasia of the Pancreas

Authors: Andreas Minh Luu, Theodor Lutz, Waldemar Uhl, Chris Braumann

Published in: Journal of Gastrointestinal Surgery | Issue 2/2019

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Abstract

Background

A 68-year-old asymptomatic patient was incidentally diagnosed with an intraductal papillary mucinous neoplasia (IPMN) of the pancreas with a pancreaticogastric fistula. He had a history of a right sided nephrectomy due to a renal cell carcinoma 9 years before. The patient underwent an uneventful total pancreatectomy and wedge resection of the stomach.

Methods

The patient’s medical history was studied and compared to recent literature via PubMed.

Results

Pathohistological evaluation confirmed a mixed type IPMN of an intestinal subtype with pancreaticogastric fistula.

Conclusion

Pancreaticogastric fistula due to benign IPMN is extremely rare. Surgical resection including wedge resection of the stomach is the treatment of choice.
Literature
1.
Sahani DV, Kadavigere R, Blake M, Fernandez-Del Castillo C, Lauwers GY, Hahn PF: Intraductal papillary mucinous neoplasm of pancreas: multi-detector row CT with 2D curved reformations—correlation with MRCP. Radiology 2006;238:560–569.CrossRefPubMed
2.
Hall TC, Garcea G, Rajesh A, Dennison AR: Pancreaticogastric fistula secondary to intraductal papillary mucinous neoplasia: a case report and review of the literature. Ann R Coll Surg Engl 2011;93:e32–34.CrossRefPubMedCentralPubMed
3.
Jausset F, Delvaux M, Dumitriu D, Bressenot A, Bruot O, Mathias J, Regent D, Laurent V: Benign intraductal papillary-mucinous neoplasm of the pancreas associated with spontaneous pancreaticogastric and pancreaticoduodenal fistulas. Digestion 2010;82:42–46.CrossRefPubMed
Metadata
Title
Pancreaticogastric Fistula Due to Infiltration of a Mixed Type Intrapapillary Mucinous Neoplasia of the Pancreas
Authors
Andreas Minh Luu
Theodor Lutz
Waldemar Uhl
Chris Braumann
Publication date
01-02-2019
Publisher
Springer US
Published in
Journal of Gastrointestinal Surgery / Issue 2/2019
Print ISSN: 1091-255X
Electronic ISSN: 1873-4626
DOI
https://doi.org/10.1007/s11605-018-3823-9

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