Intraductal tubulopapillary neoplasm (ITPN) of the pancreas associated with an invasive component: a case report with review of the literature

Table 1 Blood test results at the patient's first presentation

Day of initial presentation	Pancreas alpha-amylase (13–53 U/l)	Lipase (13–60 U/l)	ALT (10–50 U/l)	AST (10–50 U/l)	gGT (10–71 U/l)	AP (40–130 U/l)	Bilirubin (0–1.28 mg/dl)	CRP (0–0.5 mg/dl)	WBC (4–10 G/l)
Day 1	266	374	229	339	194	116	3.05	0.94	7.3
Day 2	75	79	172	128	192	98	4.73	10.96	11.3
Day 3	246	390	119	74	172	109	3.37	11.72	5.1
Day 6	53	121	160	123	219	152	1.05	3.67	3.6
Day 20	46	97	36	23	91	105	0.98	0.15	3.0

Serum values of amylase, lipase, AST, ALT, gGT, AP, bilirubin, CRP, and WBC were elevated at the patient’s initial presentation, pointing to biliary pancreatitis. After ERCP and pancreatic duct stenting on day 2, the enzymes initially elevated but then decreased rapidly towards normal values

ISSN: 1477-7819