AI Article Synopsis

  • A unique case report describes an elderly Japanese man with intraductal papillary mucinous neoplasm complicated by a pancreatogastric fistula, a rare occurrence.
  • The fistula was confirmed through endoscopic retrograde pancreatography, which involved inserting a cannulated guidewire into the stomach.
  • After six months, the patient was diagnosed with intraductal papillary mucinous carcinoma, and notable mucosal changes were observed both endoscopically and histochemically in the fistula.

Article Abstract

We herein report a rare case of intraductal papillary mucinous neoplasm with a pancreatogastric fistula in an elderly Japanese man admitted to our hospital. The pancreatogastric fistula was confirmed using endoscopic retrograde pancreatography via a cannulated guidewire placed in the stomach. Six months after admission, the patient was diagnosed with intraductal papillary mucinous carcinoma. A pancreatogastric fistula is generally a rare complication of intraductal papillary mucinous neoplasm. It was caused by mechanical penetration in this case. Interestingly, we also observed endoscopic and histochemical mucosal changes in the fistula.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8112989PMC
http://dx.doi.org/10.2169/internalmedicine.5889-20DOI Listing

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