We are reporting on two cases of IPMN with pancreatobiliary fistula.
Case1 : A 70s-year-old male was admitted，with jaundice. CT finding showed cystic masses in the pancreatic head, and hepatic mass．ERCP finding revealed pancreatobiliary fistula. Due to the cholangitis caused by a mucus plug, we performed repeatedly ERCP. Finally, we performed a total pancreatectomy and a partial hepatectomy. The pathological diagnosis was main-duct IPMC and intrahepatic cholangiocarcinoma.
Case2 : An 80s-year-old male was admitted，with jaundice．CT and ERCP findings showed IPMN with pancreatobiliary fistula.．A covered self-expandable metal stent (CSEMS) was inserted in the bile duct．However, CSEMS dislocation and cholangitis occurred 7 days later．We performed ENBD. Before the operation，however, his condition deteriorated resulting in death. Pathological diagnosis was the main-duct IPMC.
