Korean J Gastrointest Endosc.  2000 Aug;21(2):671-675.

A Case of Intraductal Papillary Mucinous Tumor of the Pancreas Presenting with Refractory Acute Pancreatitis

• Chi SW
• Chung JP
• Park YN
• Lee SJ
• Lee KS
• Moon BS
• Song SY
• Chung JB
• Lee SI
• Kang JK
• Kim KW
• Chi HS

Abstract

The clinical presentation of intraductal papillary mucinous tumor (IPMT) of the pancreas is characterized by chronic or recurrent attacks of abdominal discomfort often in association with low level pancreatic enzyme elevations. The episodes of pancreatitis due to IPMT of the pancreas are usually mild in severity. Recently, however, we experienced a case of IPMT of the pancreas causing severe acute pancreatitis with a protracted course in a 65 year-old woman. Initially, she presented with pancreatic ascites and hyperenzynemia without duct ectasia and mucus extrusion through the papillary orifice. Refeeding caused aggravation of hyperenzynemia and abdominal pain. The 4th follow-up abdominal computed tomography taken about 2 months after admission only revealed marked dilatation of the main pancreatic duct. Distal pancreatectomy disclosed IPMT, combined type and carcinoma in situ histologically. The patient has been followed for 2 years after operation with an uneventful clinical course. We herein report a case of IPMT of the pancreas with an unusual presentation.

Keyword

Intraductal papillary mucinous tumor; IPMT; Acute pancreatitis

MeSH Terms

Abdominal Pain
Aged
Ascites
Carcinoma in Situ
Dilatation
Dilatation, Pathologic
Female
Follow-Up Studies
Humans
Mucins*
Mucus
Pancreas*
Pancreatectomy
Pancreatic Ducts
Pancreatitis*
Mucins