Journal of Gastrointestinal Surgery

, Volume 23, Issue 2, pp 379–380 | Cite as

Pancreaticogastric Fistula Due to Infiltration of a Mixed Type Intrapapillary Mucinous Neoplasia of the Pancreas

  • Andreas Minh LuuEmail author
  • Theodor Lutz
  • Waldemar Uhl
  • Chris Braumann
GI Image



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.


The patient’s medical history was studied and compared to recent literature via PubMed.


Pathohistological evaluation confirmed a mixed type IPMN of an intestinal subtype with pancreaticogastric fistula.


Pancreaticogastric fistula due to benign IPMN is extremely rare. Surgical resection including wedge resection of the stomach is the treatment of choice.


Pancreaticogastric fistula IPMN Intraductal papillary mucinous neoplasia Pancreatic surgery 


Statement of Author Contribution

Each author has participated sufficiently in the work. All authors met the following criteria:

1. Substantial contribution to the conception or design, analysis, and interpretation of the work.

2. All authors drafted the work and revised it critically for intellectual content.

3. All authors gave final approval of the final version to be published.

4. All authors agreed to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.


  1. 1.
    Sahani DV, Kadavigere R, Blake M, Fernandez-Del Castillo C, Lauwers GY, Hahn PF: Intraductal papillary mucinous neoplasm of pancreas: multi-detector row CT with 2D curved reformations—correlation with MRCP. Radiology 2006;238:560–569.CrossRefGoogle Scholar
  2. 2.
    Hall TC, Garcea G, Rajesh A, Dennison AR: Pancreaticogastric fistula secondary to intraductal papillary mucinous neoplasia: a case report and review of the literature. Ann R Coll Surg Engl 2011;93:e32–34.CrossRefPubMedCentralGoogle Scholar
  3. 3.
    Jausset F, Delvaux M, Dumitriu D, Bressenot A, Bruot O, Mathias J, Regent D, Laurent V: Benign intraductal papillary-mucinous neoplasm of the pancreas associated with spontaneous pancreaticogastric and pancreaticoduodenal fistulas. Digestion 2010;82:42–46.CrossRefGoogle Scholar

Copyright information

© The Society for Surgery of the Alimentary Tract 2018

Authors and Affiliations

  1. 1.Department of General and Visceral Surgery, St. Josef HospitalRuhr-University BochumBochumGermany
  2. 2.Department of Radiology, St. Josef HospitalRuhr-University BochumBochumGermany

Personalised recommendations