Intraductal papillary mucinous neoplasm

Case contributed by Dr Lawrence Josey


Initially presented with acute pancreatitis, follow up MRI 6 years post initial presentation.

Patient Data

Age: 65
Gender: Male

There is generalized pancreatic parenchymal atrophy with mild dilatation of the main and accessory pancreatic ducts.
There is significant dilatation of the uncinate process pancreatic duct which is seen extending into the main pancreatic duct.

Case Discussion

At ERCP a fish-mouthed, open ampulla was demonstrated to exude mucinous content. Thought to be main duct rather then side branch due to the main duct dilatation. Subsequently categorized as having a higher underlying potential for malignancy. Patient regarded as potentially requiring a pancreatectomy with 12 monthly follow up until a change occurs.

PlayAdd to Share

Case information

rID: 17973
Published: 29th May 2012
Last edited: 13th Aug 2019
Inclusion in quiz mode: Included

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.