Male patient presenting with weight loss and painless jaundice

Nikos Courcoutsakis, Anastasios Karayiannakis, Panos Prassopoulos

Abstract


A 69-year-old male was referred to our hospital with moderate weight loss (5 kg during a 6-month period), nausea, pale stool and fatigue and painless jaundice. Ultrasonography, contrast enhanced CT (three phases) (Figs. 1, 2), MRI (Fig. 3) with MRCP (Fig. 4) and ERCP were performed.


Keywords


Intraductal papilary mucinous neoplasm (IPMN); MR imaging/diagnosis; MRCP; CT; Pancreas/neoplasms

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References


Demos TC, Posniak HV, Harmath C, et al. Cystic lesions of the pancreas. AJR Am J Roentgenol 2002; 179(6): 1375-1388.

Kawamoto S, Horton KM, Lawler LP, et al. Intraductal papillary mucinous neoplasm of the pancreas: can benign lesions be differentiated from malignant lesions with multidetector CT? Radiographics 2005; 25(6): 1451-1468.

Sohn TA, Yeo CJ, Cameron JL, et al. Intraductal papillary mucinous neoplasms of the pancreas: an updated experience. Ann Surg 2004; 239(6): 788-797.

Tanaka M, Fernandez-del Castillo C, Kamisawa T, et al. Revisions of international consensus Fukuoka guidelines for the management of IPMN of the pancreas. Pancreatology 2017; 17: 738-753.

Lim JH, Lee G, Oh YL. Radiologic spectrum of intraductal papillary mucinous tumor of the pancreas. Radiographics 2001; 21(2): 323-337.

Sahani DV, Kadavigere R, Saokar A, et al. Cystic pancreatic lesions: a simple imaging-based classification system for guiding management. Radiographics 2005; 25(6): 1471-1484.

Song SJ, Lee JM, Kim YJ, et al. Differentiation of intraductal papillary mucinous neoplasms from other pancreatic cystic masses: comparison of multirow-detector CT and MR imaging using ROC analysis. J Magn Reson Imaging 2007; 26(1): 86-93.

Spinelli KS, Fromwiller TE, Daniel RA, et al. Cystic pancreatic neoplasms: observe or operate. Ann Surg 2004; 239(5): 651-657.

Dewhurst CE, Mortele KJ. Cystic Tumors of the pancreas: Imaging and management. Radiol Clin N Am 2012; 50(3): 467–486.




DOI: http://dx.doi.org/10.36162/hjr.v4i3.325

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