A case of pancreatic intraductal papillary-mucinous carcinoma with penetration to the stomach and splenic abscess.

• KANEMASA Kazuyuki

  Department of Gastroenterology and Hepatology, Nara City Hospital

• SUMIDA Yoshio

  Department of Gastroenterology and Hepatology, Nara City Hospital

• IMAMURA Shigeyoshi

  Department of Gastroenterology and Hepatology, Nara City Hospital

• KATOH Naho

  Department of Gastroenterology and Hepatology, Nara City Hospital

• TACHIBANA Shunji

  Molecular Gastroenterology and Hepatology, School of Medical Science, Kyoto Prefectural University of Medicine

• MITSUFUJI Shoji

  Molecular Gastroenterology and Hepatology, School of Medical Science, Kyoto Prefectural University of Medicine

• KATAOKA Keisho

  Molecular Gastroenterology and Hepatology, School of Medical Science, Kyoto Prefectural University of Medicine

• OKANOUE Takeshi

  Molecular Gastroenterology and Hepatology, School of Medical Science, Kyoto Prefectural University of Medicine

Bibliographic Information

Other Title

• 胃および脾臓へ穿破し，脾膿瘍を合併した膵管内乳頭粘液性腺癌(IPMC)の1例

Abstract

We report the case of an 80-year-old man given a diagnosis of pancreatic intraductal papillary-mucinous carcinoma (IPMC) and early gastric cancer. He refused surgery, therefore endoscopic mucosal resection (EMR) for gastric cancer and careful observation were performed. Penetration of the IPMC to the stomach was observed 3 months later. Ten months after the initial diagnosis, he was found to have a splenic abscess and was subsequently treated by antibiotics and percutaneous drainage, and a fistula between the IPMC and the splenic abscess was observed. We suppose IPMC penetration to the spleen and bacterial transmission from the stomach through the fistula caused the splenic abscess. While IPMC is recognized as a low-grade malignancy, some cases of invasive carcinoma with fistulation to adjacent organs have been reported. To the best of our knowledge, this is the first case of IPMC associated with splenic abscess due to pancreato-splenic fistula.<br>

Journal

• Nippon Shokakibyo Gakkai Zasshi

  Nippon Shokakibyo Gakkai Zasshi 103 (7), 844-850, 2006

  The Japanese Society of Gastroenterology

Keywords

• 脾膿瘍
• 膵管内乳頭粘液性腫瘍
• 重複癌

Details

• CRID: 1390282681375342848
• NII Article ID: 10018364625
• NII Book ID: AN00192124
• DOI: 10.11405/nisshoshi.103.844
• COI: 1:STN:280:DC%2BD28vks1ekug%3D%3D
• ISSN: 13497693
• ISSN: 04466586
• Web Site: https://search.jamas.or.jp/link/ui/2006244758
• Text Lang: ja
• Data Source:
  • JaLC
  • CiNii Articles
• Abstract License Flag: Disallowed