A Case of Invasive Ductal Carcinoma with Intraductal Papillary-Mucinous Tumor Requiring Total Pancreatectomy

We report a case of pancreatic cancer with intraductal papillary-mucinous tumor (IPMT). A 67-year-old man admitted with brown urine and jaundice was found in computed tomography (CT) to have a low-density area suggesting pancreatic cancer in the pancreatic head. MRCP showed a multicystic lesion in the pancreatic head and two enlarged cystic masses in the pancreatic body and tail. He underwent total pancreatectomy with splenectomy. The pathological diagnosis was invasive ductal carcinoma with intraductal papillarymucinous adenoma in the pancreatic head and multiple intraductal papillary-mucinous adenomas in the pancreatic body and tail.