A patient with an intraductal papillary mucinous carcinoma with obstructive jaundice caused by a pancreato-biliary fistula

DOI Web Site 4 References
  • IMAZATO Ryosuke
    Department of Gastroenterological Surgery, Ibaraki Medical Center, Tokyo Medical University
  • SUZUKI Shuji
    Department of Gastroenterological Surgery, Ibaraki Medical Center, Tokyo Medical University
  • SHIMODA Mitsugi
    Department of Gastroenterological Surgery, Ibaraki Medical Center, Tokyo Medical University
  • SHIMAZAKI Jiro
    Department of Gastroenterological Surgery, Ibaraki Medical Center, Tokyo Medical University
  • OSHIRO Yukio
    Department of Gastroenterological Surgery, Ibaraki Medical Center, Tokyo Medical University
  • NISHIDA Kiyotaka
    Department of Gastroenterological Surgery, Ibaraki Medical Center, Tokyo Medical University
  • UDO Ryutaro
    Department of Gastroenterological Surgery, Ibaraki Medical Center, Tokyo Medical University
  • YAMAMOTO Masakazu
    Department of Surgery, Institute of Gastroenterology, Tokyo Women's Medical University

Bibliographic Information

Other Title
  • 胆管穿破し閉塞性黄疸を来した膵管内乳頭粘液性腺癌の1例

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Description

<p>Intraductal papillary mucinous neoplasms (IPMN) are known to cause fistulas to other organs such as the bile duct and duodenum. Development of a fistula from an IPMN into the bile duct often causes obstructive jaundice. We report a patient who underwent endoscopic nasobiliary drainage (ENBD) and radical resection after resolution of jaundice with regular tube lavage. An 84-year-old man presented with recurrent fevers. Based on detailed examination, he was diagnosed with obstructive jaundice caused by a fistula from an IPMN into the bile duct. Endoscopic placement of a plastic biliary stent failed to resolve the jaundice, the patient's condition worsened, and he was referred to our hospital. We replaced the plastic stent with an ENBD tube and performed lavage regularly to prevent obstruction. After resolution of the jaundice, we performed a pylorus-preserving pancreaticoduodenectomy. Based on pathological findings, the lesion was diagnosed as an intraductal papillary mucinous carcinoma. After surgery, the patient was discharged with no complications. One year postoperatively, there is no evidence of recurrence.</p>

Journal

  • Suizo

    Suizo 36 (6), 377-384, 2021-12-28

    Japan Pancreas Society

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