Endoscopy 2020; 52(S 01): S57
DOI: 10.1055/s-0040-1704179
ESGE Days 2020 oral presentations
Thursday, April 23, 2020 16:30 – 18:00 Pancreatic cystic lesions Liffey Hall 1
© Georg Thieme Verlag KG Stuttgart · New York

ENDOSCOPIC ULTRASOUND DIAGNOSIS OF A MAIN DUCT INTRADUCTAL PAPILLARY MUCINOUS NEOPLASM IN A TYPE 1 PANCREAS DIVISUM

Authors

  • M Moris

    Hospital Universitario Marques de Valdecilla, Gastroenterology and Hepatology, Santander, Spain

  • ÁT Lantarón

    Hospital Universitario Marques de Valdecilla, Gastroenterology and Hepatology, Santander, Spain

  • C Del Pozo Calzada

    Hospital Universitario Marques de Valdecilla, Gastroenterology and Hepatology, Santander, Spain

  • M Pascual Mato

    Hospital Universitario Marques de Valdecilla, Gastroenterology and Hepatology, Santander, Spain

  • FJJ Pérez

    Hospital Universitario Marques de Valdecilla, Gastroenterology and Hepatology, Santander, Spain
Further Information

Publication History

Publication Date:
23 April 2020 (online)

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    To characterize unspecific and incidental CT findings.

    A dilated main pancreatic duct (MPD) was described in a CT. A linear endoscopic ultrasound (EUS) was performed.

    At the body and tail, a dilated MPD with intraductal content was observed. At the head, a filiform MPD was initially seen with an abnormal Santorini duct, raising suspicion of a MD intraductal papillary mucinous neoplasm (IPMN) in a pancreas divisum. This was confirmed after observing the “fish mouth” sign at the minor papilla.

    EUS allows IPMN diagnosis and characterization. The “fish mouth” sign may only be present at the minor papilla in pancreas divisum.