Korean J Pancreas Biliary Tract.  2015 Oct;20(4):216-221. 10.15279/kpba.2015.20.4.216.

Intraductal Papillary Mucinous Neoplasm with an Associated Invasive Carcinoma Manifested by Acute Pancreatitis

Affiliations
  • 1Department of Internal Medicine and Liver Research Instituste, Seoul National University College of Medicine, Seoul, Korea. gidoctor@snuh.org
  • 2Department of Internal Medicine, Seoul National University Hospital, Seoul, Korea.

Abstract

Idiopathic acute pancreatitis (IAP) is defined as acute pancreatitis for which the standard initial evaluation has failed to reveal the etiology. Although a tumor is a rare cause of IAP, it is important to consider it in advance, because prognosis is poor if diagnosis is delayed. We describe a case of presumed IAP at the index presentation that was finally diagnosed as intraductal papillary mucinous neoplasm with an associated invasive carcinoma in a 70-year-old woman after surgery to remove a mass identified during follow-up endoscopic ultrasonography. Therefore, this is a case in which suspicion of malignancy and follow-up endoscopic ultrasonography helped to appropriately diagnose and treat the tumor.

Keyword

Acute pancreatitis; Intraductal papillary mucinous neoplasm; Invasive carcinoma

MeSH Terms

Aged
Diagnosis
Endosonography
Female
Follow-Up Studies
Humans
Mucins*
Pancreatitis*
Prognosis
Mucins
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