徳島大学 教育・研究者情報データベース(EDB)

1. (英) Matsumoto Yuri

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2. 宮本 弘志([徳島大学.大学院医歯薬学研究部.医学域.医科学部門.内科系.消化器内科学]/[徳島大学.病院.診療科.内科.消化器内科])

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3. (英) Fukuya Akira

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4. 中村 文香

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5. 郷司 敬洋

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6. 北村 晋志

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7. 木村 哲夫

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8. 岡本 耕一([徳島大学.病院.診療科.内科.消化器内科])

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9. 曽我部 正弘([徳島大学.キャンパスライフ健康支援センター])

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10. 六車 直樹

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11. 島田 光生([徳島大学.大学院医歯薬学研究部.医学域.医科学部門.外科系.消化器・移植外科学])

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12. 坂東 良美([徳島大学.病院.診療科.病理診断科])

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13. 高山 哲治([徳島大学.大学院医歯薬学研究部.医学域.医科学部門.内科系.消化器内科学])

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(英) Hemosuccus pancreaticus caused by a mucinous cystic neoplasm of the pancreas.

(英) Hemosuccus pancreaticus is a gastrointestinal hemorrhage through the main pancreatic duct. Here, we report a rare case of hemosuccus pancreaticus due to a mucinous cystic neoplasm of the pancreas. A 62-year-old woman who had been followed for a branch duct intraductal papillary mucinous neoplasm visited our emergency room due to severe abdominal pain and bloody discharge. Computed tomography revealed that the pancreatic cyst increased the tension of the wall and a high-density area indicative of bleeding into the cyst was observed. Endoscopy showed opening of and hemorrhaging from the papilla of Vater. The patient was diagnosed with hemosuccus pancreaticus caused by hemorrhaging into the cyst from the branch duct intraductal papillary mucinous neoplasm. Based on this diagnosis, elective distal pancreatectomy was performed. The histopathological diagnosis was a mucinous cystic neoplasm with intermediate-grade dysplasia based upon the pathological findings that fibrous ovarian-type stroma existed abundantly and the stroma cells were positive for progesterone receptor and inhibin. Hemosuccus pancreaticus caused by a mucinous cystic neoplasm is extremely rare and there has been only one case reported to date. In conclusion, it should be recognized that pancreatic cystic neoplasms including mucinous cystic neoplasms may cause hemosuccus pancreaticus.

1. (英) Ampulla of Vater
2. 女性(female)
3. (英) Gastrointestinal Hemorrhage
4. (英) Humans
5. 磁気共鳴映像法(magnetic resonance imaging)
6. (英) Middle Aged
7. (英) Neoplasms, Cystic, Mucinous, and Serous
8. (英) Pancreatic Cyst
9. (英) Pancreatic Ducts
10. (英) Pancreatic Neoplasms
11. (英) Tomography, X-Ray Computed

1. (英) Article.ELocationID: 10.1007/s12328-016-0711-2

2. (英) Article.PublicationTypeList.PublicationType: Case Reports

3. (英) Article.PublicationTypeList.PublicationType: Journal Article

4. (英) KeywordList.Keyword: Hemosuccus pancreaticus

5. (英) KeywordList.Keyword: Mucinous cystic neoplasm

6. (英) KeywordList.Keyword: Pancreatic cystic neoplasm