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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Bibliographic Details
Published in:Internal Medicine 2019/09/15, Vol.58(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: Article
Language:English
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
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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.
ISSN:0918-2918
1349-7235
DOI:10.2169/internalmedicine.2450-18