Korean J Gastrointest Endosc > Volume 33(3); 2006 > Article
Korean Journal of Gastrointestinal Endoscopy 2006;33(3): 191-195.
분할 췌와 동반된 유두상 점액성 종양 (Intraductal Papillary Mucinous Neoplasm) 1예
가톨릭대학교 의과대학 내과학교실, *외과학교실
Intraductal Papillary Mucinous Neoplasm in a Patient with an Incomplete Pancreatic Divisum
Sung-Min Nam, M.D., Woo-Chul Chung, M.D., Hyung-Min Chin, M.D.*, Kang-Moon Lee, M.D., Bo-In Lee, M.D., U-Im Chang, M.D., Jin-Mo Yang, M.D., Kyu-Yong Choi, M.D. and In-Sik Chung, M.D.
Departments of Internal Medicine and *Surgery, College of Medicine, The Catholic University of Korea, Seoul, Korea
Intraductal papillary mucinous neoplasms (IPMNs) are premalignant lesions that require a surgical resection. IPMN can cause abdominal pain or pancreatitis as a result of either mucin production or a papillary growth, resulting in a ductal obstruction. Most IPMNs arise from the main pancreatic duct. However, IPMNs arising from the accessory pancreatic duct are extremely rare. Pancreatic divisum occurs when the ventral and dorsal ducts of the pancreas fail to fuse during organogenesis. It is the most common congenital variant of pancreatic-ductal development, and occurs in approximately 10∼14% of individuals. Although pancreatic divisum has no clinical relevance, some patients present with acute recurrent or chronic pancreatitis. In most cases, it is discovered incidentally during an examination of pancreatitis, and is occasionally accompanied by a pancreatic tumor. We report the first case of IPMN in a patient with an incomplete pancreatic divisum in Korea. (Korean J Gastrointest Endosc 2006;33:191⁣196)
Key Words: Intraductal papillary mucinous neoplasm, Pancreatic divisum
주요어: 유두상 점액성 종양, 분할 췌
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