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Intraductal Papillary Mucinous Neoplasm Complicated by Formation of Fistulous Tracts: A Case Report with Imaging and Anatomopathological Correlation

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Detalhes bibliográficos
Resumo:Abstract Intraductal Papillary Mucinous Neoplasms are pancreatic cystic lesions characterized by a dilated main pancreatic duct and/or dilated branch ducts with papillary projections composed of dysplastic mucinous epithelium. A notable complication associated with IPMNs is the occurrence of fistulization into adjacent organs. In this article, we present one case of IPMN complicated by two gastropancreatic fistulas. We aim to review the latest literature about fistulas frequency and prognosis, which organs are affected the most, the mechanisms for fistula formation and possible methods that might help in the management of this complication.
Autores principais:Cartucho,Rita
Outros Autores:Castillo-Martin,Mireia; Matos,Celso; Gonçalves,Gil; Vanderlei,Ana Flávia
Assunto:Pancreatic intraductal neoplasms Pancreatic cyst Neoplasms Cystic Mucinous Serous Fistula MUC glycoprotein Prognosis.
Ano:2024
País:Portugal
Tipo de documento:relatório
Tipo de acesso:acesso aberto
Instituição associada:Fundação para a Ciência e Tecnologia
Idioma:inglês
Origem:SciELO Portugal
Descrição
Resumo:Abstract Intraductal Papillary Mucinous Neoplasms are pancreatic cystic lesions characterized by a dilated main pancreatic duct and/or dilated branch ducts with papillary projections composed of dysplastic mucinous epithelium. A notable complication associated with IPMNs is the occurrence of fistulization into adjacent organs. In this article, we present one case of IPMN complicated by two gastropancreatic fistulas. We aim to review the latest literature about fistulas frequency and prognosis, which organs are affected the most, the mechanisms for fistula formation and possible methods that might help in the management of this complication.