Multivisceral Resection for Pancreatic Adenocarcinoma. Case Report and Literature Review.

Adenocarcinoma of the pancreatic tail remains a malignancy with a generally dismal outcome owing to the delayed presentation of the disease. Surgery remains the goldstandard of treatment for pancreatic ductal adenocarcinoma and complete removal of the cancer confers a defi nite survival advantage. We report the case of a 48 year old male patient with imagistic fi ndings (CT scan, MRI) that reveal a pancreatic tail tumor with advanced loco-regional invasion and liver metastasis. Multivisceral resection with liver metastasectomy was performed, with postoperative outcome complicated by Clostridium diffi cile infection (CDI). No signs of local recurrence or distant metastasis were present at three months follow-up. Chemotherapy was delayed due to pulmonary thromboembolism 5 weeks after surgery and a severe recurrence of the CDI was diagnosed 9 weeks postoperatively. We consider that a multidisciplinary meeting is mandatory to optimize the outcome in these type of patients. [ABSTRACT FROM AUTHOR]