Progress of Digestive Endoscopy
Online ISSN : 2187-4999
Print ISSN : 1348-9844
ISSN-L : 1348-9844
症例
膵炎を繰り返し胃へ穿破したIPMNの1例
原 瑠以子坪内 美佐子富永 圭一村岡 信二山本 義光土田 幸平吉竹 直人笹井 貴子平石 秀幸
著者情報
キーワード: IPMN, 胃穿破, 膵炎
ジャーナル フリー

2013 年 82 巻 1 号 p. 130-131

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An 80-year-old woman had been diagnosed with IPMN and suffered from repeated acute pancreatitis since 2009. In 2011, penetration of IPMN into the stomach was found, and she was admitted to our hospital with fever and epigastric pain in May 2012.
During esophagogastroduodenoscopy it was found that the IPMN had penetrated into the stomach and also showed an increase in the tumor size. The patient’s symptoms were successfully treated via endoscopic drainage.
IPMN is partly characterized by expansive mucinous growth that may result in penetration into adjacent organs. The frequency of such penetration has been reported to be 7.9 to 15% of IPMN cases. Penetration occurs most often into the common bile duct, then the duodenum common bile duct, and finally the duodenum and stomach.
This unusual case of IPMN penetration into the stomach was associated with repeated acute pancreatitis.
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著者関連情報
© 2013 一般社団法人 日本消化器内視鏡学会 関東支部
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