Spontaneous Development of Acute Obstructive Suppurative Pancreatic Ductitis Associated with Pancreatic Carcinoma: A First Case Report

Overview

Journal Intern Med

Specialty General Medicine

Date 2017 Dec 28

PMID 29279516

Citations 2

Authors

Kunio Iwatsuka

Hiroshi Nakagawara

Masahiro Ogawa

Takuji Gotoda

Shigeoki Hayashi

Noriko Kinukawa

Akihiro Hemmi

Kenji Yamao

Akio Yanagisawa

Mitsuhiko Moriyama

Affiliations

Soon will be listed here.

Abstract

A 68-year-old man with a history of diabetes mellitus was admitted to our hospital with a diagnosis of acute pancreatitis. Abdominal computed tomography revealed a suspicious tumor in the body of the pancreas, along with a dilated main pancreatic duct and edema of the pancreatic tail. Endoscopic retrograde pancreatography was performed after treating the patient's pancreatitis. When a cannula tip was advanced beyond the stenosis, deep into the distal pancreatic duct, thick white pus was evacuated. A bacteriological examination of the aspirated pancreatic juice revealed Enterobacter cloacae, and a cytological examination revealed adenocarcinoma. The diagnosis was acute obstructive suppurative pancreatic ductitis associated with pancreatic carcinoma.

Citing Articles

A case of spontaneous acute obstructive suppurative pancreatic ductitis associated with intraductal papillary mucinous neoplasms.

Nakayama S, Fukuda A, Nishikawa S, Hirata A, Teramura M, Takai A Clin J Gastroenterol. 2024; 17(4):760-764.

PMID: 38709443 DOI: 10.1007/s12328-024-01973-4.

Acute obstructive suppurative pancreatic ductitis (AOSPD) with duodenal obstruction treated by pancreaticoduodenectomy (PD): a rare case report.

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