10 July 2020
: Case report 
Total Pancreatectomy with Splenectomy for Multifocal Intraductal Tubulopapillary Neoplasm (ITPN) of the Pancreas Associated with Invasive Component: Report of a Rare Case
Challenging differential diagnosis, Rare disease
Christoforos Kosmidis1ACDF, Nikolaos Varsamis1ABCDEFG*, Stefanos Atmatzidis2BCDF, Georgios Koimtzis2ACF, Stylianos Mantalovas2ACF, Georgios Anthimidis1ADF, Eleni Georgakoudi3AC, Christina D. Sevva4FG, Katerina Zarampouka5BCD, Danai Chourmouzi6BCD, Ariadni Leptopoulou7AD, Sofia Baka3ACD, Maria Kosmidou8DFDOI: 10.12659/AJCR.924760
Am J Case Rep 2020; 21:e924760
Figure 1. Diffuse cystic dilation at the pancreatic body and tail with severe parenchymal heterogeneity shown in (A) T2W2 abdominal MRI (arrows), and (B) vibe post contrast abdominal MRI (arrows). (C) T2-weighed abdominal MRI: cystic lesion with compact elements and high signal intensity in contact with the tail of the pancreas and the hilum of the spleen (arrows). (D) MRCP: mild dilation of the common hepatic duct (red arrow) with smooth stenosis of the common bile duct (yellow arrow). Absence of visualization of the major or accessory pancreatic duct. MRI – magnetic resonance imagining; MRCP – magnetic resonance cholangiopancreatography.