Association of Chronic Pancreatitis and Malignant Main Duct IPMN: A Rare but Difficult Clinical Problem

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dc.contributor.authorBerger, Z
dc.contributor.authorDe La Fuente, H
dc.contributor.authorMeneses, M
dc.contributor.authorMatamala, F
dc.contributor.authorSepulveda, M
dc.contributor.authorRojas, C
dc.date.accessioned2017-07-20T21:16:27Z
dc.date.available2017-07-20T21:16:27Z
dc.date.issued2017
dc.descriptionIndexación: Web of Science.es_CL
dc.description.abstractWe report the case of a 70-year-old woman who consulted for recurrent short episodes of mild-to-moderate abdominal pain. Dilated main pancreatic duct was seen on CAT scan and magnetic resonance, with multiple calcifications and intraductal stones, typical in CP. However, for a more pronounced cystic dilatation in the pancreatic head, we could not exclude the coexistence of a main duct IPMN. ERCP was performed, with pancreatic sphincterotomy and extraction of pancreatic stones, but, at the same time, mucin extrusion was seen from the dilated duct through the papilla. Pancreatoduodenectomy was performed. Surgery and histology confirmed malignant IPMN with the typical image of chronic pancreatitis and intraductal stones in the vicinity. The patient is doing well 4 years after the surgery, without recurrence of the malignant disease, with changes of chronic pancreatitis in the pancreatic remnant. This paper discusses the possible relationships between the two entities and emphasizes the need of differential diagnosis.es_CL
dc.description.urihttps://www.hindawi.com/journals/crigm/2017/8705195/
dc.identifier.citationCASE REPORTS IN GASTROINTESTINAL MEDICINE, 1-6, 2017.es_CL
dc.identifier.issn2090-6528
dc.identifier.otherhttps://doi.org/10.1155/2017/8705195
dc.identifier.urihttp://repositorio.unab.cl/xmlui/handle/ria/3752
dc.language.isoenes_CL
dc.publisherHINDAWIes_CL
dc.rights.licenseCreative Commons Attribution License
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/
dc.subjectPAPILLARY-MUCINOUS NEOPLASMes_CL
dc.subjectGUIDELINESes_CL
dc.titleAssociation of Chronic Pancreatitis and Malignant Main Duct IPMN: A Rare but Difficult Clinical Problemes_CL
dc.typeArtículoes_CL
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