A false postoperative recurrence of intraductal and papillary mucinous neoplasm of the pancreas

O Ahmed; R Pommier; J Cros; A Sauvanet

doi:10.1016/j.jviscsurg.2017.12.011

A false postoperative recurrence of intraductal and papillary mucinous neoplasm of the pancreas

J Visc Surg. 2018 Apr;155(2):165-166. doi: 10.1016/j.jviscsurg.2017.12.011. Epub 2017 Dec 29.

Authors

O Ahmed¹, R Pommier², J Cros³, A Sauvanet⁴

Affiliations

¹ Department of hepatic and pancreatic surgery, pôle des maladies de l'appareil digestif, hospital Beaujon, university Paris Diderot, 100, boulevard du Maréchal-Leclerc, 92110 Clichy, France.
² Department of radiology, pôle des maladies de l'appareil digestif, hospital Beaujon, university Paris Diderot, 100, boulevard du Maréchal-Leclerc, 92110 Clichy, France.
³ Department of pathology, pôle des maladies de l'appareil digestif, hospital Beaujon, university Paris Diderot, 100, boulevard du Maréchal-Leclerc, 92110 Clichy, France.
⁴ Department of hepatic and pancreatic surgery, pôle des maladies de l'appareil digestif, hospital Beaujon, university Paris Diderot, 100, boulevard du Maréchal-Leclerc, 92110 Clichy, France. Electronic address: [email protected].

PMID: 29291923
DOI: 10.1016/j.jviscsurg.2017.12.011

Abstract

Stenosis of pancreatico-digestive anastomoses following pancreaticoduodenectomy is frequently observed. In a patient operated on for intraductal papillary and mucinous neoplasm, it can induce a massive dilatation of the main pancreatic duct leading to the misdiagnosis of tumor recurrence with main duct involvement.

Keywords: Anastomotic stenosis; IPMN; Misdiagnosis; Pancreaticodigestive anastomosis; Pancreaticoduodenectomy.

Publication types

Case Reports

MeSH terms

Adenocarcinoma, Mucinous / diagnosis
Adenocarcinoma, Mucinous / diagnostic imaging
Adenocarcinoma, Mucinous / surgery*
Aged
Carcinoma, Pancreatic Ductal / diagnosis
Carcinoma, Pancreatic Ductal / diagnostic imaging
Carcinoma, Pancreatic Ductal / surgery*
Contrast Media
Diagnostic Errors*
Humans
Magnetic Resonance Imaging / methods
Male
Neoplasm Recurrence, Local / diagnosis
Neoplasm Recurrence, Local / diagnostic imaging*
Neoplasm Recurrence, Local / surgery
Pancreatectomy / methods
Pancreatic Neoplasms / diagnosis
Pancreatic Neoplasms / diagnostic imaging
Pancreatic Neoplasms / surgery*
Pancreaticoduodenectomy / methods
Radiographic Image Enhancement*
Tomography, X-Ray Computed / methods

Substances

Contrast Media