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Obstructive chronic pancreatitis and/or intraductal papillary mucinous neoplasms (IPMNs): a 21-year long case report

Obstructive chronic pancreatitis and/or intraductal papillary mucinous neoplasms (IPMNs): a 21-year long case report
Obstructive chronic pancreatitis and/or intraductal papillary mucinous neoplasms (IPMNs): a 21-year long case report
Context: Intraductal papillary mucinous neoplasms of the pancreas (IPMNs), usually present with a picture of chronic pancreatitis and must be considered within the differential diagnosis of this condition.

Case report: We report a long history of a 58-year-old male who presented with recurrent attacks of pancreatitis. He was treated for chronic pancreatitis until the age of 78 when the diagnosis of IPMN was made, but radical treatment was not possible and he was managed palliatively. The patient died of sepsis and multi-organ failure 21 years following his first presentation.

Conclusion: This case highlights possible pitfalls in the diagnosis and treatment of IPMNs, suggests a very long natural history, proposes possible palliative treatment in selected cases and reflects about IPMNs biological position in the chronic pancreatitis-ductal adenocarcinoma chain.

1590-8577
218-21
Abu-Hilal, Mohammed
384e1c60-8519-4eed-8e92-91775aad4c47
Salvia, Roberto
ed1034f3-f02e-4c9d-9a68-b46fa7036c8e
Casaril, Andrea
e07d4f90-0352-46c9-91b6-f6e8734bc600
Pearce, Neil William
12ab5ca5-a80c-4fe9-ab31-725048d6c747
Bassi, Claudio
247ade4b-d6a6-4816-ade1-292031a4ec92
Capelli, Paola
5ef69c96-e666-4c81-a907-c82a79c36216
Nicoli, Nicola
5a0aa845-4281-4e6e-8328-5cda65d7ce4f
Abu-Hilal, Mohammed
384e1c60-8519-4eed-8e92-91775aad4c47
Salvia, Roberto
ed1034f3-f02e-4c9d-9a68-b46fa7036c8e
Casaril, Andrea
e07d4f90-0352-46c9-91b6-f6e8734bc600
Pearce, Neil William
12ab5ca5-a80c-4fe9-ab31-725048d6c747
Bassi, Claudio
247ade4b-d6a6-4816-ade1-292031a4ec92
Capelli, Paola
5ef69c96-e666-4c81-a907-c82a79c36216
Nicoli, Nicola
5a0aa845-4281-4e6e-8328-5cda65d7ce4f

Abu-Hilal, Mohammed, Salvia, Roberto, Casaril, Andrea, Pearce, Neil William, Bassi, Claudio, Capelli, Paola and Nicoli, Nicola (2006) Obstructive chronic pancreatitis and/or intraductal papillary mucinous neoplasms (IPMNs): a 21-year long case report. JOP: Journal of the Pancreas, 7 (2), 218-21. (PMID:16525207)

Record type: Article

Abstract

Context: Intraductal papillary mucinous neoplasms of the pancreas (IPMNs), usually present with a picture of chronic pancreatitis and must be considered within the differential diagnosis of this condition.

Case report: We report a long history of a 58-year-old male who presented with recurrent attacks of pancreatitis. He was treated for chronic pancreatitis until the age of 78 when the diagnosis of IPMN was made, but radical treatment was not possible and he was managed palliatively. The patient died of sepsis and multi-organ failure 21 years following his first presentation.

Conclusion: This case highlights possible pitfalls in the diagnosis and treatment of IPMNs, suggests a very long natural history, proposes possible palliative treatment in selected cases and reflects about IPMNs biological position in the chronic pancreatitis-ductal adenocarcinoma chain.

Full text not available from this repository.

More information

Published date: 2006

Identifiers

Local EPrints ID: 174623
URI: https://eprints.soton.ac.uk/id/eprint/174623
ISSN: 1590-8577
PURE UUID: d75519ce-a752-424c-b088-65e522c85a87

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Date deposited: 15 Feb 2011 10:29
Last modified: 15 Jun 2018 16:31

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