Endoscopic Ultrasonography-guided Fine-needle Aspiration Revealed Metastasis-induced Acute Pancreatitis in a Patient with Adrenocortical Carcinoma

A 26-year-old woman complained of upper abdominal pain. Computed tomography (CT) showed acute pancreatitis, a left adrenal tumor and solitary right pulmonary metastasis. She underwent left adrenalectomy; the adrenal tumor was diagnosed as adrenocortical carcinoma (ACC). When preparing to resect the...

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Autores principales: Mori, Toshitaka, Kondo, Hiromu, Naitoh, Itaru, Koyama, Tetsuo, Takenaka, Yuya, Komai, Hirohiko, Araki, Sachiko, Kitagawa, Mika, Nishigaki, Nobuhiro, Tanaka, Yoshito, Itoh, Keisuke, Hasegawa, Chihiro, Kawai, Takashi, Hayashi, Kazuki
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2019
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6794166/
https://www.ncbi.nlm.nih.gov/pubmed/31178487
http://dx.doi.org/10.2169/internalmedicine.2450-18
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author Mori, Toshitaka
Kondo, Hiromu
Naitoh, Itaru
Koyama, Tetsuo
Takenaka, Yuya
Komai, Hirohiko
Araki, Sachiko
Kitagawa, Mika
Nishigaki, Nobuhiro
Tanaka, Yoshito
Itoh, Keisuke
Hasegawa, Chihiro
Kawai, Takashi
Hayashi, Kazuki
author_facet Mori, Toshitaka
Kondo, Hiromu
Naitoh, Itaru
Koyama, Tetsuo
Takenaka, Yuya
Komai, Hirohiko
Araki, Sachiko
Kitagawa, Mika
Nishigaki, Nobuhiro
Tanaka, Yoshito
Itoh, Keisuke
Hasegawa, Chihiro
Kawai, Takashi
Hayashi, Kazuki
author_sort Mori, Toshitaka
collection PubMed
description A 26-year-old woman complained of upper abdominal pain. Computed tomography (CT) showed acute pancreatitis, a left adrenal tumor and solitary right pulmonary metastasis. She underwent left adrenalectomy; the adrenal tumor was diagnosed as adrenocortical carcinoma (ACC). When preparing to resect the pulmonary metastasis, she suffered a second acute pancreatic attack. Magnetic resonance cholangiopancreatography (MRCP) showed that the proximal main pancreatic duct (MPD) was dilated, and the distal MPD was diminished; however, no pancreatic tumor was observed on CT or MRCP. Endoscopic ultrasonography revealed a solitary pancreatic mass, which was diagnosed as pancreatic metastasis from ACC by endoscopic ultrasonography-guided fine-needle aspiration.
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spelling pubmed-67941662019-10-17 Endoscopic Ultrasonography-guided Fine-needle Aspiration Revealed Metastasis-induced Acute Pancreatitis in a Patient with Adrenocortical Carcinoma Mori, Toshitaka Kondo, Hiromu Naitoh, Itaru Koyama, Tetsuo Takenaka, Yuya Komai, Hirohiko Araki, Sachiko Kitagawa, Mika Nishigaki, Nobuhiro Tanaka, Yoshito Itoh, Keisuke Hasegawa, Chihiro Kawai, Takashi Hayashi, Kazuki Intern Med Case Report A 26-year-old woman complained of upper abdominal pain. Computed tomography (CT) showed acute pancreatitis, a left adrenal tumor and solitary right pulmonary metastasis. She underwent left adrenalectomy; the adrenal tumor was diagnosed as adrenocortical carcinoma (ACC). When preparing to resect the pulmonary metastasis, she suffered a second acute pancreatic attack. Magnetic resonance cholangiopancreatography (MRCP) showed that the proximal main pancreatic duct (MPD) was dilated, and the distal MPD was diminished; however, no pancreatic tumor was observed on CT or MRCP. Endoscopic ultrasonography revealed a solitary pancreatic mass, which was diagnosed as pancreatic metastasis from ACC by endoscopic ultrasonography-guided fine-needle aspiration. The Japanese Society of Internal Medicine 2019-06-07 2019-09-15 /pmc/articles/PMC6794166/ /pubmed/31178487 http://dx.doi.org/10.2169/internalmedicine.2450-18 Text en Copyright © 2019 by The Japanese Society of Internal Medicine https://creativecommons.org/licenses/by-nc-nd/4.0/ The Internal Medicine is an Open Access journal 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
Mori, Toshitaka
Kondo, Hiromu
Naitoh, Itaru
Koyama, Tetsuo
Takenaka, Yuya
Komai, Hirohiko
Araki, Sachiko
Kitagawa, Mika
Nishigaki, Nobuhiro
Tanaka, Yoshito
Itoh, Keisuke
Hasegawa, Chihiro
Kawai, Takashi
Hayashi, Kazuki
Endoscopic Ultrasonography-guided Fine-needle Aspiration Revealed Metastasis-induced Acute Pancreatitis in a Patient with Adrenocortical Carcinoma
title Endoscopic Ultrasonography-guided Fine-needle Aspiration Revealed Metastasis-induced Acute Pancreatitis in a Patient with Adrenocortical Carcinoma
title_full Endoscopic Ultrasonography-guided Fine-needle Aspiration Revealed Metastasis-induced Acute Pancreatitis in a Patient with Adrenocortical Carcinoma
title_fullStr Endoscopic Ultrasonography-guided Fine-needle Aspiration Revealed Metastasis-induced Acute Pancreatitis in a Patient with Adrenocortical Carcinoma
title_full_unstemmed Endoscopic Ultrasonography-guided Fine-needle Aspiration Revealed Metastasis-induced Acute Pancreatitis in a Patient with Adrenocortical Carcinoma
title_short Endoscopic Ultrasonography-guided Fine-needle Aspiration Revealed Metastasis-induced Acute Pancreatitis in a Patient with Adrenocortical Carcinoma
title_sort endoscopic ultrasonography-guided fine-needle aspiration revealed metastasis-induced acute pancreatitis in a patient with adrenocortical carcinoma
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6794166/
https://www.ncbi.nlm.nih.gov/pubmed/31178487
http://dx.doi.org/10.2169/internalmedicine.2450-18
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