Santorinicele in a patient with unresectable pancreatic cancer.
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.
Fukatsu
Hirotoshi
H
Department of Gastroenterology and Hepatology, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences, Okayama.
Kawamoto
Hirofumi
H
Tsutsumi
Koichiro
K
Fujii
Masakuni
M
Kato
Hironari
H
Hirao
Ken
K
Kurihara
Naoko
N
Ogawa
Tsuneyoshi
T
Ishida
Etsuji
E
Okamoto
Yuko
Y
Okada
Hiroyuki
H
Sakaguchi
Kohsaku
K
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*