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World J Gastrointest Endosc. Jul 16, 2014; 6(7): 328-333
Published online Jul 16, 2014. doi: 10.4253/wjge.v6.i7.328
Published online Jul 16, 2014. doi: 10.4253/wjge.v6.i7.328
Intraductal papillary mucinous neoplasm of the bile duct with gastric and duodenal fistulas
Man Yong Hong, Dong Wook Yu, Seung Goun Hong, Department of Internal Medicine, SAM Anyang Hospital, Gyeonggi 430-733, South Korea
Author contributions: All authors solely contributed to this paper.
Correspondence to: Seung Goun Hong, MD, Department of Internal Medicine, SAM Anyang Hospital, 613-9 Anyang 5 dong, Manan-gu, Gyeonggi 430-733, South Korea. permi@naver.com
Telephone: +82-31-4679114 Fax: +82-31-4490151
Received: March 11, 2014
Revised: April 25, 2014
Accepted: June 10, 2014
Published online: July 16, 2014
Processing time: 126 Days and 19.3 Hours
Revised: April 25, 2014
Accepted: June 10, 2014
Published online: July 16, 2014
Processing time: 126 Days and 19.3 Hours
Core Tip
Core tip: An intraductal papillary mucinous neoplasm of the bile duct with combined fistula formation into the stomach and the duodenum initially presented with jaundice and abdominal pain was introduced and after failed attempts of endoscopic suction of thick mucin through the two fistulas to resolve the jaundice, the patient’s symptom was successfully resolved after the irrigations of N-acetylcysteine three times daily via after percutaneous transhepatic biliary drainage tube for 10 d.