Endoscopic Ultrasonography-guided Fine-needle Aspiration Revealed Metastasis-induced Acute Pancreatitis in a Patient with Adrenocortical Carcinoma

A 26-year-old woman complained of upper abdominal pain. Computed tomography (CT) showed acute pancreatitis, a left adrenal tumor and solitary right pulmonary metastasis. She underwent left adrenalectomy; the adrenal tumor was diagnosed as adrenocortical carcinoma (ACC). When preparing to resect the...

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Published inInternal Medicine Vol. 58; no. 18; pp. 2645 - 2649
Main Authors Mori, Toshitaka, Kondo, Hiromu, Naitoh, Itaru, Koyama, Tetsuo, Takenaka, Yuya, Komai, Hirohiko, Araki, Sachiko, Kitagawa, Mika, Nishigaki, Nobuhiro, Tanaka, Yoshito, Itoh, Keisuke, Hasegawa, Chihiro, Kawai, Takashi, Hayashi, Kazuki
Format Journal Article
LanguageEnglish
Published Japan The Japanese Society of Internal Medicine 15.09.2019
Japan Science and Technology Agency
Subjects
Acute Disease
Adrenal Cortex Neoplasms - complications
Adrenalectomy
adrenocortical carcinoma
Adrenocortical Carcinoma - complications
Adult
Biopsy
Biopsy, Fine-Needle - methods
Case Report
Computed tomography
endoscopic ultrasonography-guided fine-needle aspiration
Endoscopy
Endosonography - methods
Female
Humans
Internal medicine
Metastases
Metastasis
metastasis-induced acute pancreatitis
Pain
Pancreas
Pancreatic Ducts - pathology
Pancreatic Neoplasms - diagnosis
Pancreatitis
Pancreatitis - diagnosis
Ultrasonic imaging
Ultrasound
adrenocortical carcinoma
endoscopic ultrasonography-guided fine-needle aspiration
metastasis-induced acute pancreatitis
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Summary:A 26-year-old woman complained of upper abdominal pain. Computed tomography (CT) showed acute pancreatitis, a left adrenal tumor and solitary right pulmonary metastasis. She underwent left adrenalectomy; the adrenal tumor was diagnosed as adrenocortical carcinoma (ACC). When preparing to resect the pulmonary metastasis, she suffered a second acute pancreatic attack. Magnetic resonance cholangiopancreatography (MRCP) showed that the proximal main pancreatic duct (MPD) was dilated, and the distal MPD was diminished; however, no pancreatic tumor was observed on CT or MRCP. Endoscopic ultrasonography revealed a solitary pancreatic mass, which was diagnosed as pancreatic metastasis from ACC by endoscopic ultrasonography-guided fine-needle aspiration.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
content type line 23
ObjectType-Report-1
ObjectType-Article-3
Correspondence to Dr.　Hiromu Kondo, hkondo@higashi-hosp.jp
ISSN:0918-2918
1349-7235
DOI:10.2169/internalmedicine.2450-18