Progress of Digestive Endoscopy
Online ISSN : 2187-4999
Print ISSN : 1348-9844
ISSN-L : 1348-9844
Case report
A case of intraductal papillary mucinous tumor accompanied by obstructive jaundice due to generated mucus through pancreatico-cholangio-fistula
Sachiko UjiieShiro NakanoYusuke OkuwakiYasuyuki AnazawaKeizo HasumiFumitoshi MorinoTakashi OhnoKunio NakayasuMasayuki ShinodaNobue Kumaki
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2004 Volume 64 Issue 2 Pages 142-143

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Abstract
A 67-year-old man came to our hospital with a chief complaint of jaundice and itching. Abdominal ultrasonography and computed tomography showed cystic tumor of the pancreas head and dilatation of the bile and pancreatic ducts. After we diagnosed obstructive jaundice, we performed percutanous transhepatic cholangio-drainage. Magnetic resonance cholangiopancreatography and percutanous transhepatic cholangiography showed fistulous communication with pancreatic duct and common bile duct. We performed percutanous transhepatic cholangioscope, in result we found mucinous ductal ectasia into the through pancreatico-cholangio-fistula. Under the diagnosis of intraductal papillary mucinous tumor (adenoma) , the patient was treated by pancreatico-duodenectomy. Histological examination of the specimen showed invasive carcinoma drived from IPMT, accompanied by invasion into CBD. We reported the case of IPMT with obstructive jaundice due to mucus through pancreatico-cholangio-fistula.
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© 2004 Japan Gastroenterological Endoscopy Society Kanto Chapter
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