Abstract
Pancreatobiliary or pancreatodigestive fistulae are rare during the course of intraductal papillary mucinous tumors. The mechanism of the fistula is either malignant involvement or mechanical. We report the case of an 81-year-old patient with intraductal papillary mucinous tumor complicated by fistulae between the main pancreatic duct and common bile duct, duodenum and stomach. These fistulae were treated endoscopically and radiologically by several metallic stents.
MeSH terms
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Adenocarcinoma, Mucinous / complications*
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Adenocarcinoma, Mucinous / diagnostic imaging
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Adenocarcinoma, Mucinous / surgery
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Aged
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Aged, 80 and over
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Biliary Fistula / diagnostic imaging
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Biliary Fistula / etiology
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Biliary Fistula / surgery
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Carcinoma, Pancreatic Ductal / complications*
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Carcinoma, Pancreatic Ductal / diagnostic imaging
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Carcinoma, Pancreatic Ductal / surgery
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Carcinoma, Papillary / complications*
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Carcinoma, Papillary / diagnostic imaging
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Carcinoma, Papillary / surgery
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Digestive System Fistula / diagnostic imaging
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Digestive System Fistula / etiology*
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Digestive System Fistula / surgery
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Gastric Fistula / diagnostic imaging
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Gastric Fistula / etiology
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Gastric Fistula / surgery
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Humans
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Male
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Pancreatic Fistula / diagnostic imaging
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Pancreatic Fistula / etiology
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Pancreatic Fistula / surgery
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Pancreatic Neoplasms / complications*
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Pancreatic Neoplasms / diagnostic imaging
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Pancreatic Neoplasms / surgery
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Radiography
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Stents
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Treatment Outcome