Possible Congenital Dilatation of the Pancreatic Duct

Overview

Journal BMJ Case Rep

Specialty General Medicine

Date 2017 Oct 1

PMID 28963386

Citations 1

Authors

Abhijeet Tavare

Alex N Gordon-Weeks

Helen Bungay

Michael Silva

Affiliations

Soon will be listed here.

Abstract

The main pancreatic duct can become dilated in a number of conditions. We describe a patient with gross dilatation of the main pancreatic duct without evidence of causative underlying pathology suggesting congenital dilatation of the pancreatic duct. A 36-year-old man presented with signs of intestinal obstruction and a history of surgery for congenital pyloric stenosis. Incidental findings on CT showed a massively dilated main pancreatic duct. On MRI there was no duct irregularity or solid mural nodule, making a main duct intraductal papillary mucinous neoplasm unlikely. Endoscopic ultrasound findings were in keeping with those on MRI. Fine needle aspiration revealed a non-viscous fluid with a low carcinoembryonic antigen and high amylase concentration, consistent with normal pancreatic fluid levels rather than a mucinous collection. After 1 year, the cyst remains unchanged. This patient will be kept under surveillance with yearly MRI.

Citing Articles

Giant dilatation of pancreatic duct associated with congenital anomaly of the pancreatic ductal system and small neuroendocrine tumor.

Markov P, Karmazanovsky G, Lysenko A, Arutyunov O, Kalinin D, Burmistrov A J Surg Case Rep. 2024; 2024(2):rjae030.

PMID: 38328450 PMC: 10847401. DOI: 10.1093/jscr/rjae030.

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