A Case of Intraductal Papillary Mucinous Neoplasm (IPMN) Analyzed by Curved Planar Reconstruction (CPR) With Treatment of Twymeeg and Equmet for Type 2 Diabetes (T2D)

The case is 74-year-old male with type 2 diabetes (T2D) for 11 years. In June 2022, he received abdominal CT scan, in which the atrophy of pancreas and the dilatation of main pancreatic duct was observed. As detail exams, Curved Planar Reconstruction (CPR) of CT, Magnetic Resonance Cholangiopancreatography (MRCP), and Endoscopic Ultrasonography (EUS) were performed. From these, Intraductal Papillary Mucinous Neoplasm (IPMN) with main pancreatic duct type was suggested. After the pancreatectomy in September 2022, his HbA1c value was elevated, but EquMet (vildagliptin and metformin) and Twymeeg (imeglimin) showed clinical effects for improvement of glucose variability for several months.

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