Intraductal papillary mucinous neoplasm

Discussion:

At ERCP a fish-mouthed, open ampulla was demonstrated to exude mucinous content. Thought to be main duct rather then side branch due to the main duct dilatation. Subsequently categorized as having a higher underlying potential for malignancy. Patient regarded as potentially requiring a pancreatectomy with 12 monthly follow up until a change occurs.

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