Use of Peroral Pancreatoscopy in the Diagnosis of Elusive Intraductal Papillary Mucinous Neoplasm With High-Grade Dysplasia

Author:

Sarita Mabel Angela T.12ORCID,Sakai Arata1,Tsujimae Masahiro1,Kobayashi Takashi1,Masuda Atsuhiro1,Kanzawa Maki3,Toyama Hirochika4,Kodama Yuzo1

Affiliation:

1. Division of Gastroenterology, Department of Internal Medicine, Kobe University Graduate School of Medicine, Kobe, Japan

2. Institute of Digestive and Liver Diseases, St. Luke's Medical Center, Quezon City, Philippines

3. Department of Diagnostic Pathology, Kobe University Graduate School of Medicine, Kobe, Japan

4. Division of Hepato-Biliary-Pancreatic Surgery, Department of Surgery, Kobe University Graduate School of Medicine, Kobe, Japan

Abstract

ABSTRACT Intraductal papillary mucinous neoplasm (IPMN) is a premalignant lesion of the pancreas that can occasionally manifest as recurrent acute pancreatitis. In this report, we discuss a unique case of a 49-year-old woman who presented with recurrent acute pancreatitis of an unknown cause for several years. Workup using peroral pancreatoscopy eventually showed main-duct IPMN with high-grade dysplasia as the obscure cause of recurrent acute pancreatitis. This case report highlights the clinical course of main-duct IPMN and the evolving role of peroral pancreatoscopy in patients with recurrent acute pancreatitis.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

General Medicine

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