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Autoimmune pancreatitis complicated by gastric varices:A report of 3 cases

World Journal of Gastroenterology 2012年第31期18卷 4228-4232页

作者： Norihiro Goto Jun Mimura toshinao itani Motohito Hayashi Yukari Shimada Tomoaki Matsumori Department of Gastroenterology Nishi-Kobe Medical CenterHyogo 651-2273Japan

We present three cases of autoimmune pancreatitis(AIP) complicated by gastric *** 1:A 57-yearold man was diagnosed with AIP complicated by gastric varices and splenic vein *** was not detected at the time of the *** AIP improved using steroid therapy,the splenic vein was reperfused,and the gastric varices disappeared;case 2:A 55-year-old man was diagnosed with AIP complicated by gastric varices,splenic vein obstruction,and *** the AIP improved using steroid therapy,the gastric varices and splenic vein obstruction did not resolve;case 3:A 68-year-old man was diagnosed with AIP complicated by gastric varices,splenic vein obstruction,and *** gastric varices,splenic vein obstruction,and AIP did not improve using steroid *** three cases suggest that gastric varices or splenic vein obstruction without splenomegaly may be an indication for steroid therapy in patients with AIP because the complications will likely become irreversible over time.

关键词： Autoimmune Pancreatitis Gastric varices

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Rapid transformation of branched pancreatic duct-derived intraductal tubulopapillary neoplasm into an invasive carcinoma: A case report

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World Journal of Clinical Oncology 2023年第12期14卷 620-627页

作者： Kenta Yamamoto Yutaka Takada Takuya Kobayashi Ryo Ito Yuka Ikeda Shogo Ota Kanna Adachi YukariShimada Motohito Hayashi toshinao itani Satsuki Asai Kojiro Nakamura Department of Gastroenterology and Hepatology Kobe City Nishi-Kobe Medical CenterKobe 651-2273HyogoJapan Department of Pathology Kobe City Nishi-Kobe Medical CenterKobe 651-2273HyogoJapan Department of Surgery and Gastroenterological Surgery Kobe City Nishi-Kobe Medical CenterKobe 651-2273HyogoJapan

BACKGROUND Intraductal tubulopapillary neoplasm(ITPN)is a rare disease accounting for approximately 3%of all intraductal pancreatic tumors,with intraductal papillary mucinous neoplasm(IPMN)being one of the most common differential *** ITPN and IPMN display slow growth.A branched pancreatic duct type is commonly observed in IPMN,whereas ITPN derived from the branched pancreatic duct has been reported in a limited number of cases;hence,its pathogenesis remains *** SUMMARY Here,we present the case of a patient with ITPN localized in a branched pancreatic duct,with poorly controlled irritable bowel syndrome.A contrastenhanced computed tomography scan of the abdomen incidentally revealed a 5-mm oligemic nodule-like change in the body of the *** ultrasound(EUS)indicated a 10-mm hypoechoic mass without any cystic structures that had grown within 2 ***-guided fine needle aspiration was performed for definitive diagnosis,and the findings suggested ductal papillary *** pancreatectomy was performed,and the tumor was pathologically diagnosed as ITPN with an invasive cancerous component,pT3N1aM0,pStage IIB(International Cancer Control,8^(th) edition).The patient underwent treatment with postoperative adjuvant chemotherapy(S-1 monotherapy);however,relapse was observed 1 year and 10 mo after surgical resection,and subsequent treatment involving a combination of chemotherapy and radiotherapy was *** therapy has since facilitated a stable disease *** Regardless of the microscopic size of the neoplasm,early diagnosis of ITPN with EUS-guided fine needle aspiration and surgical resection are crucial.

关键词： Intraductal tubulopapillary neoplasm Pancreatic tumors Neoplasia Carcinoma Pancreaticoduodenectomy Case report

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