| Pancreatitis-Mimicking Pancreatic Cancer with Duodenal Obstruction: A Case Report |
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A Reum Choe, Ki Nam Shim, Tae Oh Kim, Sang Eun Yoon, Seog Ki Min, Min Sun Cho |
1Department of Internal Medicine, Ewha Womans University School of Medicine, Seoul, Korea. shimkn@ewha.ac.kr
2Department of Surgery, Ewha Womans University School of Medicine, Seoul, Korea.
3Department of Pathology, Ewha Womans University School of Medicine, Seoul, Korea. |
| 췌장염으로 오인되었던 십이지장 폐쇄를 동반한 췌장암 1예 |
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최아름, 심기남, 김태오, 윤상은, 민석기1, 조민선2 |
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이화여자대학교 의학전문대학원 내과학교실, 외과학교실1, 병리학교실2 |
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| Abstract |
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Pancreatic cancer tends to be delayed in diagnosis because of the lack of early symptom and less than 20% of patients present with resectable masses. A 95-year-old male visited due to recurrent abdominal pain and vomiting. About 2 years ago, a polypoid lesion was detected at the post-bulbar area on esophagogastroduodenoscopy for medical check-up. Endoscopic biopsy noted chronic inflammation with glandular atypia. On the CT scan, there was an intraluminal polypoid mass lesion with mixed hypodensity at the duodenal second portion. Ultrasound guided biopsy targeting the hypodense lesion was performed and revealed chronic pancreatitis. The vomiting persisted and the patient received a palliative gastrojejunostomy. Twenty-five days after gastrojejunostomy, jaundice occurred and an ill-defined mass at the pancreas head was noted on the CT. Pylorus preserving pancreatoduodenectomy was performed and a 3.5 cm sized, moderate to poorly differentiated ductal adenocarcinoma of pancreas head was diagnosed. Nineteen days after operation, the patient was discharged in good condition. |
| Key Words:
Pancreatic neoplasms; Pancreatitis; Duodenal obstruction |
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