Chromo-pancreatoscopy for preoperative evaluation of main duct intraductal pancreatic mucinous neoplasm

A 59-year-old man was referred for evaluation of a dilated main pancreatic duct (MPD) associated with pancreatic atrophy on magnetic resonance imaging (Fig. 1). After undergoing an EUS at an outside facility, he was advised to undergo a total pancreatectomy. He presented to our facility for a second opinion.