Background A 68-year-old asymptomatic patient was incidentally diagnosed with an intraductal papillary mucinous neoplasia (IPMN) of the pancreas with a pancreaticogastric fistula. He had a history of a right sided nephrectomy due to a renal cell carcinoma 9 years before. The patient underwent an uneventful total pancreatectomy and wedge resection of the stomach. Methods The patient’s medical history was studied and compared to recent literature via PubMed. Results Pathohistological evaluation confirmed a mixed type IPMN of an intestinal subtype with pancreaticogastric fistula. Conclusion Pancreaticogastric fistula due to benign IPMN is extremely rare. Surgical resection including wedge resection of the stomach is the treatment of choice. . . . Keywords Pancreaticogastric fistula IPMN Intraductal papillary mucinous neoplasia Pancreatic surgery A 68-year-old male Caucasian patient was referred to our An uneventful total pancreatectomy and an en-block- clinic with a massive cystic lesion of the pancreas. A comput- wedge resection of the stomach were performed subsequently. ed tomography of the abdomen was performed in a radiologic Figure 2 demonstrates a view from the stomach with focus on practice as a follow-up investigation after a right-sided ne- the pancreaticogastric fistula. Pathologic examination re- phrectomy due to a renal cell carcinoma 9 years before.
Journal of Gastrointestinal Surgery – Springer Journals
Published: May 29, 2018
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