Case Report
Copyright ©The Author(s) 2019. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Jun 27, 2019; 11(6): 296-302
Published online Jun 27, 2019. doi: 10.4240/wjgs.v11.i6.296
Role of total pancreatectomy in the treatment of paraduodenal pancreatitis: A case report
Danko Mikulić, Tomislav Bubalo, Anna Mrzljak, Anita Škrtić, Stipislav Jadrijević, Tajana Filipec Kanižaj, Branislav Kocman
Danko Mikulić, Tomislav Bubalo, Stipislav Jadrijević, Branislav Kocman - Division of Abdominal Surgery and Organ Transplantation, Department of Surgery, University Hospital Merkur, Zagreb 10000, Croatia
Anna Mrzljak, Tajana Filipec Kanižaj - Division of Gastroenterology, Department of Internal Medicine, University of Zagreb, School of Medicine, University Hospital Merkur, Zagreb 10000, Croatia
Anita Škrtić, Department of Pathology and Cytology, University of Zagreb, School of Medicine, University Hospital Merkur, Zagreb 10000, Croatia
Author contributions: Mikulić D and Bubalo T were the patient’s operator and assistant. Mikulić D reviewed the literature and contributed to manuscript drafting. Bubalo T contributed to manuscript drafting. Mrzljak A reviewed the literature and contributed to manuscript drafting. Škrtić A performed pathology analyzed and explained the pathology imagings findings. Jadrijević S, Filipec Kanižaj T and Kocman B were responsible for the revision of the manuscript for important intellectual content. All authors issued final approval for the version to be submitted.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Danko Mikulić, MD, PhD, FEBS, Division of Abdominal Surgery and Organ Transplantation, Department of Surgery, University Hospital Merkur, Zajčeva 19, Zagreb 10000, Croatia. danko.mikulic@zg.t-com.hr
Received: April 17, 2019
Peer-review started: April 18, 2019
First decision: May 31, 2019
Revised: June 6, 2019
Accepted: June 21, 2019
Article in press: June 21, 2019
Published online: June 27, 2019
Core Tip

Core tip: Paraduodenal pancreatitis (PP) is a rare form of chronic pancreatitis presenting with symptoms of duodenal obstruction. Conservative treatment is often unsuccessful and pancreaticoduodenectomy is the preferred surgical approach. Differential diagnosis from carcinoma of the pancreatic head can be quite difficult and it is often only postoperative pathology that provides the definitive diagnosis. In this case report we present an uncommon case where PP was associated with a necrotic pseudocyst of the tail of the pancreas and the patient was treated with total pancreatectomy.