Abstract
An 83-year-old woman presented with jaundice at our hospital. Contrast-enhanced computed tomography revealed a large intraductal papillary mucinous neoplasia (IPMN) with ectasia of the main pancreatic duct and intrahepatic bile ducts. An inferior common bile duct pancreaticobiliary fistula was also detected (Figure A: arrow). Subsequently, magnetic resonance cholangiopancreatography showed signal changes in the region, signifying massive amounts of mucus (Figure B).
Highlights
Despite efforts, the patient died from obstructive jaundice and recurrent cholangitis
Egress of mucus was visualized on endoscopy from a dilated ampullary orifice
We attempted to observe the pancreaticobiliary fistula via digital cholangioscopy (CHFV2; Olympus, Tokyo, Japan)
Summary
The patient died from obstructive jaundice and recurrent cholangitis. Digital Cholangioscopy Visualized a Pancreaticobiliary Fistula Associated With Intraductal Papillary Mucinous Neoplasm An 83-year-old woman presented with jaundice at our hospital.
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