Di Cataldo A, Bellavia N, Amico A, Latino R, Bosco Daniela, Perrotti S
G Chir. 2019 Jul-Aug;40(4):308-312.
Intraductal papillary mucinous neoplasms (IPMN) are a rare group of pancreatic neoplasms. Often are asymptomatic and, when are symptomatic, patients complain sensation of weight in the abdomen or compression at the neighboring structures. In many cases the diagnosis is incidental, during a CT or MR performed for other raisons.
We report a case of a 59-year-old woman with diagnosis of post-pancreatitis pseudocyst who, instead, was affected by an intraductal papillary mucinous neoplasm (IPMN), treated by us with pancreatoduodenectomy.
The diagnosis of IPMN has increased in recent years thanks to an improvement in radiological investigation. The study of pancreatic lesions must be very careful and it is absolutely necessary that diagnostic imaging be accompanied by a correct clinical evaluation of the patient.
A thorough anamnesis is required in patient with history of acute pancreatitis to avoid the mistake of exchanging an IPMN for a pseudocyst.
导管内乳头状黏液性肿瘤（IPMN）是一组罕见的胰腺肿瘤。通常无症状，有症状时，患者会诉说腹部有坠胀感或邻近结构受压。在许多情况下，诊断是在因其他原因进行CT或MR检查时偶然发现的。
我们报告一例59岁女性患者，最初诊断为胰腺炎后假性囊肿，而实际上患的是导管内乳头状黏液性肿瘤（IPMN），我们对其进行了胰十二指肠切除术。
近年来，由于放射学检查的改进，IPMN的诊断有所增加。对胰腺病变的研究必须非常谨慎，诊断性影像学检查绝对需要结合对患者正确的临床评估。
对于有急性胰腺炎病史的患者，需要进行全面的问诊，以避免将IPMN误诊为假性囊肿。
