Intraductal papillary mucinous neoplasm

Case contributed by Dr Lawrence Josey

Presentation

Initially presented with acute pancreatitis, follow up MRI 6 years post initial presentation.

Patient Data

Age: 65
Gender: Male

There is generalised pancreatic parenchymal atrophy with mild dilatation of the main and accessory pancreatic ducts.
There is significant dilatation of the uncinate process pancreatic duct which is seen extending into the main pancreatic duct.

Case Discussion

At ERCP a fish-mouthed, open ampulla was demonstrated to exude mucinous content. Thought to be main duct rather then side branch due to the main duct dilatation. Subsequently categorised as having a higher underlying potential for malignancy. Patient regarded as potentially requiring a pancreatectomy with 12 monthly follow up until a change occurs.

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Case information

rID: 17973
Case created: 29th May 2012
Last edited: 18th Nov 2016
Inclusion in quiz mode: Included

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