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Pancreaticogastric Fistula Due to Infiltration of a Mixed Type Intrapapillary Mucinous Neoplasia of the Pancreas.
Journal of Gastrointestinal Surgery 2018 May 30
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.
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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