Internal Medicine
Online ISSN : 1349-7235
Print ISSN : 0918-2918
ISSN-L : 0918-2918
CASE REPORTS
Santorinicele in a Patient with Unresectable Pancreatic Cancer
Hirotoshi Fukatsu, Hirofumi Kawamoto, Koichiro Tsutsumi, Masakuni Fujii, Hironari Kato, Ken Hirao, Naoko Kurihara, Tsuneyoshi Ogawa, Etsuji Ishida, Yuko Okamoto, Hiroyuki Okada, Kohsaku Sakaguchi
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Keywords: santorinicele, endoscopic retrograde pancreatography, pancreatic cancer
JOURNAL OPEN ACCESS

2008 Volume 47 Issue 1 Pages 33-35

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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.

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© 2008 by The Japanese Society of Internal Medicine
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