Villous adenomatosis of duct of Wirsung revealed by wirsungorragie: evolution and surgical management.
A patient presenting with wirsungorragie was found to have a villous adenoma of the duct of Wirsung. The lesion was treated by a left pancreatectomy. Five years later he presented with recurrent wirsungorragie and was found to have a villous adenomatosis of the main pancreatic duct and of its side branches. This time a Whipple procedure was performed, achieving a total pancreatectomy. The patient has remained well for 12 months. This case of villous adenomatosis is, to our knowledge, the first one to be revealed by a wirsungorragie.
Bresler
L
L
Service de Chirurgie C, Chu Nancy-Brabois, Vandoeuvre, France.
Gay
G
G
Boissel
P
P
Grosdidier
J
J
D000236:Adenoma / Q000473:pathology* / Q000601:surgery; D000368:Aged; D006801:Humans; D008297:Male; D009364:Neoplasm Recurrence, Local / Q000473:pathology* / Q000601:surgery; D010180:Pancreatectomy; D010183:Pancreatic Ducts; D010190:Pancreatic Neoplasms / Q000473:pathology* / Q000601:surgery