Related Experiment Video
Updated: Nov 20, 2025
05:07
Multimodality Diagnosis of Mesenteric Ischemia
Published on: July 21, 2023
934
Pancreatic cancer masquerading as ischemic enteritis on endoscopy
Enrik John T Aguila1, Carlos Paolo D Francisco1, Jonard T Co1
1Institute of Digestive and Liver Diseases St. Luke's Medical Center Global City Taguig Philippines.
JGH Open : an Open Access Journal of Gastroenterology and Hepatology
|January 25, 2021
Summary
Pancreatic cancer rarely presents as ischemic enteritis due to artery invasion. This case highlights pancreatic adenocarcinoma initially mimicking ischemic enteritis, diagnosed via enteroscopy and endoscopic ultrasound.
Area of Science:
- Gastroenterology
- Oncology
- Diagnostic Imaging
Background:
- Pancreatic tumors typically cause painless jaundice and may lead to bowel obstruction.
- Ischemic enteritis from pancreatic malignancy invading major arteries is exceptionally rare.
- Endoscopic documentation of this presentation has not been previously reported.
Observation:
- A computed tomography (CT) scan revealed duodenal and jejunal wall thickening.
- Enteroscopy showed a poorly distensible duodenum with purplish mucosa.
- Mesenteric CT angiography demonstrated pancreatic head mass encasing the superior mesenteric artery.
Findings:
- Pancreatic adenocarcinoma was diagnosed via endoscopic ultrasound (EUS)-guided fine-needle biopsy.
- The tumor presented atypically, mimicking ischemic enteritis.
- EUS identified a hypoechoic lesion in the pancreatic head.
Implications:
- This case expands the known clinical presentations of pancreatic adenocarcinoma.
- It underscores the importance of advanced endoscopic techniques in diagnosing rare gastrointestinal pathologies.
- Early and accurate diagnosis is crucial for effective pancreatic cancer management.
Related Concept Videos
01:26Endoscopic Procedures V: ERCP
1.5K
Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...
Patient...
1.5K
01:24Chronic Pancreatitis I: Introduction
445
The pancreas, an elongated and flat gland situated behind the stomach, serves a vital function in digesting food and managing blood sugar levels.
Pancreatitis is the inflammation of the pancreas, which occurs when the immune system becomes active and causes swelling, pain, and disruptions in organ function. Pancreatitis can manifest as either an acute or chronic condition.
Acute pancreatitis arises suddenly and lasts for a brief duration, while chronic pancreatitis is a long-term affliction...
Pancreatitis is the inflammation of the pancreas, which occurs when the immune system becomes active and causes swelling, pain, and disruptions in organ function. Pancreatitis can manifest as either an acute or chronic condition.
Acute pancreatitis arises suddenly and lasts for a brief duration, while chronic pancreatitis is a long-term affliction...
445
01:29Chronic Pancreatitis II: Collaborative Care
180
The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:
Assessment:
180
01:30Acute Pancreatitis II: Clinical Manifestations and Management
439
Acute pancreatitis presents a complex medical emergency characterized by rapid onset inflammation of the pancreas, demanding timely diagnosis and management to prevent complications. The condition primarily manifests through severe upper abdominal pain that often radiates to the back. This pain intensifies following the consumption of fatty foods. Accompanying symptoms such as nausea, vomiting, abdominal distention, fever, dyspnea, cyanosis, and jaundice can vary in intensity but significantly...
439
01:25Assessment of the Rectum and Anus
709
Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
709
01:28Peptic Ulcer Disease III: Clinical Manifestations and Diagnostic Studies
329
Peptic ulcer disease (PUD) presents with diverse symptoms depending on the location and severity of the ulcer. Clinical manifestations of peptic ulcer include dull pain and a burning sensation in the mid-epigastric region.
Few clinical manifestations differentiate gastric ulcers from duodenal ulcers. Distinctions in the location, timing, and pain relief are crucial for healthcare providers in differentiating between gastric and duodenal ulcers during clinical assessments.
Few clinical manifestations differentiate gastric ulcers from duodenal ulcers. Distinctions in the location, timing, and pain relief are crucial for healthcare providers in differentiating between gastric and duodenal ulcers during clinical assessments.
329