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Korean J Med > Volume 87(5); 2014 > Article
The Korean Journal of Medicine 2014;87(5): 579-584.
췌관내유두상점액종양과 바터 팽대부 선종에 의한 급성 재발성 췌장염
오창교1, 유기덕1, 최호순1, 이강녕1, 구건우1, 이승1, 장기석2
1한양대학교 의과대학 내과학교실
2한양대학교 의과대학 병리학교실
A Case of Acute Recurrent Pancreatitis Caused by Branch Duct Type IPMN and Ampulla of Vater Adenoma with High Grade Dysplasia
Chang Kyo Oh1, Ki Deok Yoo1, Ho Soon Choi1, Kang Nyeong Lee1, Gun Woo Koo1, Seung Lee1, Ki Seok Jang2
1Departments of Internal Medicine, Hanyang University College of Medicine, Seoul, Korea
2Departments of Pathology, Hanyang University College of Medicine, Seoul, Korea
Corresponding Author: Ho Soon Choi ,Tel: +82-2-2290-8379, Fax: +82-2-2298-9183, Email: hschoi96@hanyang.ac.kr
Received: April 22, 2014;   Revised: June 2, 2014;   Accepted: June 23, 2014.
This is an Open Access article distributed under the terms of the Creative Commons Attribution NonCommercial License (http://creativecommons.org/licenses/bync/3.0/) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
ABSTRACT
Acute pancreatitis is an inflammatory disease that can extend to extra-pancreatic tissues and distant organs. Detecting the underlying cause is important because it helps provide an appropriate treatment plan and improve prognosis. An underlying cause cannot be identified after initial evaluation in 10-30% of patients with acute pancreatitis, and they are diagnosed with idiopathic acute pancreatitis. Here, we report a case of a 77-year-old woman with acute recurrent pancreatitis caused by a branch duct-type intraductal papillary mucinous neoplasm (IPMN) and an ampulla of Vater adenoma. Abdominal computed tomography and magnetic resonance cholangiopancreatography revealed only IPMN. However, endoscopic retrograde cholangiopancreatography revealed a mucosal abnormality of the ampulla of Vater. The mucosal abnormality was documented to be an ampulla of Vater adenoma with high-grade dysplasia.
Keywords: Pancreatitis; Ampulla of Vater; Adenoma; Intraductal papillary mucinous neoplasm (IPMN)
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