Abstract
We report an interesting case of a patient with neither family nor personal history for pancreatic diseases that was admitted to our department in 1982, at the age of 25 years. At that time, medical history, absence of alcohol abuse, and radiological imaging suggested a diagnosis of idiopathic chronic pancreatitis. The patient underwent a left-pancreatectomy, with histological confirmation of chronic pancreatitis. He was asymptomatic until 1988, when episodes of pain arose, requiring a pancreatico-jejunostomy. No further problems ensued until 2004 when radiological investigation following pain-related symptoms revealed enormous dilation of the pancreatic duct. A pylorus-preserving pancreaticoduodenectomy resulting in total pancreatectomy was performed. Histological examination revealed an intraductal papillary mucinous non-invasive carcinoma. Review of the previously resected specimen revealed former misdiagnosis. This tumour usually affects an elderly population and nowadays is recognised as a possible cause of chronic obstructive pancreatitis. This report represents a slippery case of misdiagnosis and demonstrates that follow-up is always mandatory following a diagnosis of idiopathic chronic pancreatitis.
| Original language | English |
|---|---|
| Pages (from-to) | 585-588 |
| Number of pages | 4 |
| Journal | Digestive and Liver Disease |
| Volume | 39 |
| Issue number | 6 |
| DOIs | |
| Publication status | Published - Jun 2007 |
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Keywords
- Idiopathic chronic pancreatitis
- Intraductal papillary mucinous neoplasm
- Total pancreatectomy
ASJC Scopus subject areas
- Gastroenterology
Cite this
A case of intraductal papillary mucinous tumour following recurrent attacks of pancreatitis lasting 26 years. / Landoni, L.; Falconi, M.; Salvia, R.; Capelli, P.; Bettini, R.; Pederzoli, P.
In: Digestive and Liver Disease, Vol. 39, No. 6, 06.2007, p. 585-588.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - A case of intraductal papillary mucinous tumour following recurrent attacks of pancreatitis lasting 26 years
AU - Landoni, L.
AU - Falconi, M.
AU - Salvia, R.
AU - Capelli, P.
AU - Bettini, R.
AU - Pederzoli, P.
PY - 2007/6
Y1 - 2007/6
N2 - We report an interesting case of a patient with neither family nor personal history for pancreatic diseases that was admitted to our department in 1982, at the age of 25 years. At that time, medical history, absence of alcohol abuse, and radiological imaging suggested a diagnosis of idiopathic chronic pancreatitis. The patient underwent a left-pancreatectomy, with histological confirmation of chronic pancreatitis. He was asymptomatic until 1988, when episodes of pain arose, requiring a pancreatico-jejunostomy. No further problems ensued until 2004 when radiological investigation following pain-related symptoms revealed enormous dilation of the pancreatic duct. A pylorus-preserving pancreaticoduodenectomy resulting in total pancreatectomy was performed. Histological examination revealed an intraductal papillary mucinous non-invasive carcinoma. Review of the previously resected specimen revealed former misdiagnosis. This tumour usually affects an elderly population and nowadays is recognised as a possible cause of chronic obstructive pancreatitis. This report represents a slippery case of misdiagnosis and demonstrates that follow-up is always mandatory following a diagnosis of idiopathic chronic pancreatitis.
AB - We report an interesting case of a patient with neither family nor personal history for pancreatic diseases that was admitted to our department in 1982, at the age of 25 years. At that time, medical history, absence of alcohol abuse, and radiological imaging suggested a diagnosis of idiopathic chronic pancreatitis. The patient underwent a left-pancreatectomy, with histological confirmation of chronic pancreatitis. He was asymptomatic until 1988, when episodes of pain arose, requiring a pancreatico-jejunostomy. No further problems ensued until 2004 when radiological investigation following pain-related symptoms revealed enormous dilation of the pancreatic duct. A pylorus-preserving pancreaticoduodenectomy resulting in total pancreatectomy was performed. Histological examination revealed an intraductal papillary mucinous non-invasive carcinoma. Review of the previously resected specimen revealed former misdiagnosis. This tumour usually affects an elderly population and nowadays is recognised as a possible cause of chronic obstructive pancreatitis. This report represents a slippery case of misdiagnosis and demonstrates that follow-up is always mandatory following a diagnosis of idiopathic chronic pancreatitis.
KW - Idiopathic chronic pancreatitis
KW - Intraductal papillary mucinous neoplasm
KW - Total pancreatectomy
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U2 - 10.1016/j.dld.2006.06.004
DO - 10.1016/j.dld.2006.06.004
M3 - Article
C2 - 16843740
AN - SCOPUS:34248550067
VL - 39
SP - 585
EP - 588
JO - Digestive and Liver Disease
JF - Digestive and Liver Disease
SN - 1590-8658
IS - 6
ER -