췌관 내 점액성 유두 종양에 의해 형성된 췌위루 1예 |
이승근·김일두·이혜정·김태오·김광하·허정·강대환·송근암·조몽·김지연*·김석† |
부산대학교 의과대학 내과학교실, *병리학교실, †영상의학과교실 |
A Case of Pancreatogastric Fistula Associated with Intraductal Papillary Mucinous Neoplasm |
Seung Geun Lee, M.D., Il Du Kim, M.D., Hye Jeong Lee, M.D., Tae Oh Kim, M.D., Gwang Ha Kim, M.D., Jeong Heo, M.D., Dae Hwan Kang, M.D., Geun Am Song, M.D., Mong Cho, M.D., Jee Yeon Kim, M.D.* and Suk Kim, M.D.† |
Departments of Gastroenterolgy, *Pathology and †Radiology, Pusan National University College of Medicine, Busan, Korea |
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Abstract |
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There have been an increasing number of reports of intraductal papillary mucinous neoplasm (IPMN) of the pancreas since its first report by Ohhasi et al. in 1982. However, fistula formation associated with IPMN to other organs is rare. A 79-year -old woman visited our hospital due to diarrhea and dyspepsia for 3 months. Abdominal computed tomography and magnetic resonance imaging revealed IPMN of the pancreas and fistula formation in the stomach. Endoscopic retrograde cholangiography after injecting a dye through the pancreatic duct showed dye flowing out into stomach. An endoscopic biopsy was carried out through the pancreatogastric fistula and this tumor was confirmed to be IPMN. We report a case of pancreatogastric fistula associated with IPMN that was confirmed by histology. (Korean J Gastrointest Endosc 2006;33:257261) |
Key Words:
Intraductal papillary mucinous neoplasm, Pancreatogastric fistula, Pancreas, Stomach |
주요어:
췌관 내 점액성 유두 종양, 췌위루, 췌장, 위 |
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