Abstract
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.
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References
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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.
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.
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Luu, A.M., Lutz, T., Uhl, W. et al. Pancreaticogastric Fistula Due to Infiltration of a Mixed Type Intrapapillary Mucinous Neoplasia of the Pancreas. J Gastrointest Surg 23, 379–380 (2019). https://doi.org/10.1007/s11605-018-3823-9
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DOI: https://doi.org/10.1007/s11605-018-3823-9