In some patients with tumors located in the pancreas or in the periampullary region, the decision to perform a surgical resection can be difficult. In patients with concomitant chronic pancreatitis this decision can be even more challenging, since a definitive preoperative differentiation between non-malignant and malignant tumors in many cases is not possible. Clinical symptoms or complications from the tumor often direct a rational treatment strategy. For therapeutic decisions, an interdisciplinary discussion of all diagnostic findings by experienced clinicians is needed. However, in rare cases, like the one presented here, an uncommon non-malignant entity like a periampullary hamartoma may be only diagnosed after surgical resection.
Keywords: CP; CT; Cholestasis; Chronic pancreatitis; Obstructive gastric outlet syndrome; Periampullary hamartoma; centimeter; chronic pancreatitis; cm; computed tomography; millimeter; mm.
Copyright © 2013 IAP and EPC. Published by Elsevier B.V. All rights reserved.