Over the last 10 years only a few similar case reports have been published [7–13]. Due to the aggressive nature of pancreatic adenocarcinoma and the poor 5-year survival rate after resection, the possibility of surgical treatment of a recurrence is rare. Miyazaki et al. published a retrospective study analyzing the cases of 284 patients who underwent R0 or R1 resection for pancreatic adenocarcinoma between 2000 and 2012 [14]. Of these patients, 170 developed a recurrence by April 2013.