Case Report
Copyright ©2012 Baishideng Publishing Group Co., Limited. All rights reserved.
World J Gastroenterol. Nov 28, 2012; 18(44): 6510-6514
Published online Nov 28, 2012. doi: 10.3748/wjg.v18.i44.6510
Laparoscopic resection of synchronous intraductal papillary mucinous neoplasms: A case report
Xiao-Wu Xu, Rong-Hua Li, Wei Zhou, Jie Wang, Ren-Chao Zhang, Ke Chen, Yi-Ping Mou
Xiao-Wu Xu, Rong-Hua Li, Wei Zhou, Jie Wang, Ren-Chao Zhang, Ke Chen, Yi-Ping Mou, Department of General Surgery, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou 310016, Zhejiang Province, China
Author contributions: Xu XW, Li RH, Zhang RC and Mou YP performed the operation; Chen K and Wang J collected case data; Xu XW and Zhou W wrote the paper.
Supported by Major Science and Technology Projects Focus on Social Development Projects from Zhejiang University, No. 2011C13036-2
Correspondence to: Yi-Ping Mou, MD, FACS, Department of General Surgery, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, 3 East Qingchun Road, Hangzhou 310016, Zhejiang Province, China. mouyiping2002@163.com
Telephone: +86-571-86006952 Fax: +86-571-86044817
Received: July 25, 2012
Revised: September 20, 2012
Accepted: September 28, 2012
Published online: November 28, 2012
Processing time: 145 Days and 22.3 Hours
Abstract

We describe herein a 68-year-old woman who was diagnosed with a quite rare entity of intraductal papillary mucinous neoplasms (IPMNs) occurring simultaneously in the left lateral lobe of liver and the tail of pancreas. Abdominal computed tomography and magnetic resonance cholangiopancreatography showed a cystic dilatation of the pancreatic duct in the pancreatic tail, which suggested an IPMN, and multiple intrahepatic duct stones in the left lateral lobe. The patient underwent a laparoscopic left lateral hepatolobectomy and spleen-preserving distal pancreatectomy. Intra-operative finding of massive mucin in the dilated bile duct implied an intraductal mucinous tumor in the liver. The diagnosis of synchronous IPMNs in the liver and pancreas was confirmed by pathological examination. The patient was followed up for 6 mo without signs of recurrence. Although several cases of IPMN of liver without any pancreatic association have been reported, the simultaneous occurrence of IPMNs in the liver and pancreas is very rare. To the best of our knowledge, it is the first reported case treated by laparoscopic resection.

Keywords: Laparoscopy; Pancreas; Liver; Intraductal papillary mucinous neoplasm; Synchronous neoplasm