Pancreatic Fistula Extending into the Thigh Caused by the Rupture of an Intraductal Papillary Mucinous Adenoma of the Pancreas

We herein report the first case of a pancreatic fistula extending into the thigh caused by the rupture of an intraductal papillary mucinous neoplasm (IPMN) of the pancreas. An 80-year-old man was suspected to have necrotizing fasciitis because of right femoral pain. Computed tomography showed fluid...

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Autores principales: Shimizu, Yuki, Imaizumi, Hiroshi, Yamauchi, Hiroshi, Okuwaki, Kosuke, Miyazawa, Shiro, Iwai, Tomohisa, Takezawa, Miyoko, Kida, Mitsuhiro, Suzuki, Erina, Saegusa, Makoto, Koizumi, Wasaburo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2017
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5348455/
https://www.ncbi.nlm.nih.gov/pubmed/28154275
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author Shimizu, Yuki
Imaizumi, Hiroshi
Yamauchi, Hiroshi
Okuwaki, Kosuke
Miyazawa, Shiro
Iwai, Tomohisa
Takezawa, Miyoko
Kida, Mitsuhiro
Suzuki, Erina
Saegusa, Makoto
Koizumi, Wasaburo
author_facet Shimizu, Yuki
Imaizumi, Hiroshi
Yamauchi, Hiroshi
Okuwaki, Kosuke
Miyazawa, Shiro
Iwai, Tomohisa
Takezawa, Miyoko
Kida, Mitsuhiro
Suzuki, Erina
Saegusa, Makoto
Koizumi, Wasaburo
author_sort Shimizu, Yuki
collection PubMed
description We herein report the first case of a pancreatic fistula extending into the thigh caused by the rupture of an intraductal papillary mucinous neoplasm (IPMN) of the pancreas. An 80-year-old man was suspected to have necrotizing fasciitis because of right femoral pain. Computed tomography showed fluid retention from the pancreatic head to the right iliopsoas muscle and an IPMN at the pancreatic head. The findings of endoscopic retrograde pancreatography led to the suspicion of a minor leak and a pancreatic stent was placed. The patient died due to an uncontrollable infection. A pathological autopsy showed a pancreatic fistula extending into the thigh that had been caused by the rupture of the IPMN.
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spelling pubmed-53484552017-03-24 Pancreatic Fistula Extending into the Thigh Caused by the Rupture of an Intraductal Papillary Mucinous Adenoma of the Pancreas Shimizu, Yuki Imaizumi, Hiroshi Yamauchi, Hiroshi Okuwaki, Kosuke Miyazawa, Shiro Iwai, Tomohisa Takezawa, Miyoko Kida, Mitsuhiro Suzuki, Erina Saegusa, Makoto Koizumi, Wasaburo Intern Med Case Report We herein report the first case of a pancreatic fistula extending into the thigh caused by the rupture of an intraductal papillary mucinous neoplasm (IPMN) of the pancreas. An 80-year-old man was suspected to have necrotizing fasciitis because of right femoral pain. Computed tomography showed fluid retention from the pancreatic head to the right iliopsoas muscle and an IPMN at the pancreatic head. The findings of endoscopic retrograde pancreatography led to the suspicion of a minor leak and a pancreatic stent was placed. The patient died due to an uncontrollable infection. A pathological autopsy showed a pancreatic fistula extending into the thigh that had been caused by the rupture of the IPMN. The Japanese Society of Internal Medicine 2017-02-01 /pmc/articles/PMC5348455/ /pubmed/28154275 Text en https://creativecommons.org/licenses/by-nc-nd/4.0/ The Internal Medicine is an Open Access article distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Shimizu, Yuki
Imaizumi, Hiroshi
Yamauchi, Hiroshi
Okuwaki, Kosuke
Miyazawa, Shiro
Iwai, Tomohisa
Takezawa, Miyoko
Kida, Mitsuhiro
Suzuki, Erina
Saegusa, Makoto
Koizumi, Wasaburo
Pancreatic Fistula Extending into the Thigh Caused by the Rupture of an Intraductal Papillary Mucinous Adenoma of the Pancreas
title Pancreatic Fistula Extending into the Thigh Caused by the Rupture of an Intraductal Papillary Mucinous Adenoma of the Pancreas
title_full Pancreatic Fistula Extending into the Thigh Caused by the Rupture of an Intraductal Papillary Mucinous Adenoma of the Pancreas
title_fullStr Pancreatic Fistula Extending into the Thigh Caused by the Rupture of an Intraductal Papillary Mucinous Adenoma of the Pancreas
title_full_unstemmed Pancreatic Fistula Extending into the Thigh Caused by the Rupture of an Intraductal Papillary Mucinous Adenoma of the Pancreas
title_short Pancreatic Fistula Extending into the Thigh Caused by the Rupture of an Intraductal Papillary Mucinous Adenoma of the Pancreas
title_sort pancreatic fistula extending into the thigh caused by the rupture of an intraductal papillary mucinous adenoma of the pancreas
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5348455/
https://www.ncbi.nlm.nih.gov/pubmed/28154275
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