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Intraductal papillary mucinous neoplasm of the pancreas with a bifid pancreatic duct.


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Title: Intraductal papillary mucinous neoplasm of the pancreas with a bifid pancreatic duct.
Authors: Tajima, Yoshitsugu / Adachi, Tomohiko / Kuroki, Tamotsu / Tsuneoka, Noritsugu / Mishima, Takehiro / Kosaka, Taiichiro / Kanematsu, Takashi
Issue Date: Nov-2009
Publisher: Springer Japan
Citation: Journal of hepato-biliary-pancreatic surgery, 16(6), pp.865-868; 2009
Abstract: A bifid pancreatic duct presenting a major bifurcation in the main pancreatic duct is one of the anatomical variations of the pancreatic ducts. We encountered a 71-year-old female with a 5-cm-diameter branch duct intraductal papillary mucinous neoplasm of the pancreas in whom preoperative endoscopic retrograde pancreatography demonstrated an anomalous bifurcation of the main pancreatic duct at the body of the pancreas. We performed a distal pancreatectomy, instead of a middle pancreatectomy, with a cutting line at the downstream pancreas to the duct bifurcation point. Intraoperative ultrasonography was useful to confirm the exact location of the pancreatic duct bifurcation as well as the tumor extension. The procedure resulted in a favorable outcome without any postoperative complications. Although a bifid pancreatic duct is an unusual anomalous condition, this case should alert surgeons to be aware of such anatomical variants when performing pancreatic resection, otherwise, incurable pancreatic complications may occur postoperatively.
Keywords: Bifid pancreatic duct / Endoscopic retrograde pancreatography / Intraductal papillary mucinous neoplasm of the pancreas / Intraoperative ultrasonography / Pancreatic resection
URI: http://hdl.handle.net/10069/24524
ISSN: 09441166
DOI: 10.1007/s00534-009-0053-2
PubMed ID: 19262979
Rights: © Springer 2009 / The original publication is available at www.springerlink.com
Type: Journal Article
Text Version: author
Appears in Collections:Articles in academic journal

Citable URI : http://hdl.handle.net/10069/24524

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