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An unusual case of incidental pancreatic neuroendocrine tumor presenting with main pancreatic duct cystic dilatation.
Essoun, Samuel; Adu-Aryee, Nii A; Obaka, Henry E; Seshie, Bernard; Dey, Dzifa; Naporo, Simon.
Afiliación
  • Essoun S; Department of Surgery, Korle Bu Teaching Hospital, P.O. Box KB 77, Korle Bu, Accra, Ghana.
  • Adu-Aryee NA; Department of Surgery, University of Ghana Medical School, P.O. Box GP 4236, Accra, Ghana.
  • Obaka HE; Department of Surgery, Korle Bu Teaching Hospital, P.O. Box KB 77, Korle Bu, Accra, Ghana.
  • Seshie B; Department of Surgery, Tema General Hospital, Hospital Road, Tema, Ghana.
  • Dey D; Department of Medicine and Therapeutics, University of Ghana Medical School, P.O. Box GP 4236, Accra, Ghana.
  • Naporo S; Department of Pathology, Greater Accra Regional Hospital (Ridge Hospital), P.O. Box GP 473, Accra Ghana.
Oxf Med Case Reports ; 2024(9): omae104, 2024 Sep.
Article en En | MEDLINE | ID: mdl-39246612
ABSTRACT

INTRODUCTION:

Pancreatic lesions have varied morphology and presentation making their diagnosis challenging. The lesions may be asymptomatic incidentalomas on abdominal imaging for other conditions, symptomatic producing specific hormone effects or causing local effects. CASE We report a 35-year-old woman with recurrent abdominal pain confirmed gastroesophageal reflux disease. Initial CT imaging reported findings of a pancreatic pseudocysts. A careful review of the imaging showed cystic dilatation of the main pancreatic duct mimicking a main pancreatic duct intra-ductal papillary mucinous neoplasm. At surgery, a small nodule palpated in the pancreatic head with sacculation in the body and tail. A histopathological review showed a pancreatic neuroendocrine tumour blocking the main pancreatic duct at the neck causing downstream dilatation and sacculation. This case highlights the difficulty of diagnosing small asymptomatic pancreatic tumours especially with limited range of imaging modalities while increasing awareness of these conditions to improve our ability to manage them effectively.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Oxf Med Case Reports Año: 2024 Tipo del documento: Article País de afiliación: Ghana Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Oxf Med Case Reports Año: 2024 Tipo del documento: Article País de afiliación: Ghana Pais de publicación: Reino Unido