Advanced Endoscopy Fellows Program | September 2024-Fellows Presentation - When a Dilated pancreatic Duct is not Just Chronic Pancreatitis

Fellows Presentation - When a Dilated pancreatic Duct is not Just Chronic Pancreatitis

Video Transcription

Video Summary

Motazem Alkayad presented a case of a 77-year-old female with idiopathic chronic pancreatitis symptoms, highlighting a dilated pancreatic duct and calcification. Despite normal liver and lipase tests, imaging and MRCP confirmed ductal dilation. Procedures revealed debris and potential intraductal neoplasm, which led to a diagnosis of intraductal papillary mucinous neoplasm (IPMN) with low-grade dysplasia. The patient underwent distal pancreatectomy and splenectomy, confirming low-grade dysplasia with no malignancy. Alkayad emphasized the importance of considering IPMN in idiopathic chronic pancreatitis cases, as it shares radiographic similarities and requires a comprehensive evaluation for proper diagnosis and treatment planning.

Keywords

idiopathic chronic pancreatitis

intraductal papillary mucinous neoplasm

distal pancreatectomy

ductal dilation

low-grade dysplasia