title: Santorinicele in a patient with unresectable pancreatic cancer.
abstract: A santorinicele is defined as a focal cystic dilatation of the terminal portion of the dorsal pancreatic duct at the minor papilla; most cases have been reported in patients with pancreas divisum. It has been suggested that a santorinicele results from a combination of a minor papilla obstruction which prevents the flow of pancreatic juice and a weakness of the duodenal wall where the dorsal pancreatic duct terminates. However, these conditions can occur in patients with invasive ductal cancer in the pancreatic head. We encountered a rare case of a santorinicele with unresectable adenocarcinoma of the pancreatic head in an 81-year-old woman.
authors.affiliation: Department of Gastroenterology and Hepatology, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences, Okayama.
authors.forename: Hirotoshi
authors.initials: H
authors.lastname: Fukatsu
authors.forename: Hirofumi
authors.initials: H
authors.lastname: Kawamoto
authors.forename: Koichiro
authors.initials: K
authors.lastname: Tsutsumi
authors.forename: Masakuni
authors.initials: M
authors.lastname: Fujii
authors.forename: Hironari
authors.initials: H
authors.lastname: Kato
authors.forename: Ken
authors.initials: K
authors.lastname: Hirao
authors.forename: Naoko
authors.initials: N
authors.lastname: Kurihara
authors.forename: Tsuneyoshi
authors.initials: T
authors.lastname: Ogawa
authors.forename: Etsuji
authors.initials: E
authors.lastname: Ishida
authors.forename: Yuko
authors.initials: Y
authors.lastname: Okamoto
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Okada
authors.forename: Kohsaku
authors.initials: K
authors.lastname: Sakaguchi
mesh_terms: D000230:Adenocarcinoma / Q000150:complications*; D000369:Aged, 80 and over; D002760:Cholangiopancreatography, Endoscopic Retrograde; D004108:Dilatation, Pathologic / Q000175:diagnosis / Q000209:etiology; D005260:Female; D006801:Humans; D010181:Pancreatic Cyst / Q000175:diagnosis / Q000209:etiology*; D010183:Pancreatic Ducts; D010190:Pancreatic Neoplasms / Q000150:complications*