Korean J Gastrointest Endosc.  1997 Aug;17(4):574-580.

A Case of Mucinous Ductal Ectasia of the Pancreas Presented with Acute Pancreatitis

Affiliations
  • 1Department of Internal Medicine, College of Medicine, Pusan National University, Pusan, Korea.

Abstract

We have experienced a case of mucinous ductal ectasia of the pancreas. The patient visited hospital with the symptoms of acute pancreatitis. The plasma levels of amylase and lipase checked at hospital were elevated. Abdominal ultrasonography and CT scan showed cystlike, intrapancreatic defects localized in the uncinate process of pancreatic head, On duodenoscopy, bulging ampulla of Vater and patulous papillary orifice were seen. Mucin leaked out of the patulous opening. Endoscopic retrograde pancreatography was performed and the localized, grape-like cyatic dilatation of the side branch of a main pancreatic duct on the uncinate process was shown. The main pancreatic duct was also dilated and had multiple filling defects in it. Whipple' s operation was performed and the histologic diagnosis was a benign intraductal papillary mucinous neoplasm of the pancreas.

Keyword

Mucinous ductal ectasia; Pancreas; Acute pancreatitis

MeSH Terms

Ampulla of Vater
Amylases
Diagnosis
Dilatation
Dilatation, Pathologic*
Duodenoscopy
Head
Humans
Lipase
Mucins*
Pancreas*
Pancreatic Ducts
Pancreatitis*
Plasma
Tomography, X-Ray Computed
Ultrasonography
Amylases
Lipase
Mucins
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