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Case report
Author
Selim, Ahmed Department of Internal Medicine Ⅱ
Fukuba, Nobuhiko Department of Internal Medicine Ⅱ
Moriyama, Ichiro Cancer Center, Shimane University Hospital
Sonoyama, Hiroki Department of Internal Medicine Ⅱ
Fukuyama, Chika Department of Internal Medicine Ⅱ
Sumi, Shohei Department of Internal Medicine Ⅱ
Mishima, Yoshiyuki Department of Internal Medicine Ⅱ
Ishihara, Shunji Department of Internal Medicine Ⅱ
Kinoshita, Yoshikazu Department of Internal Medicine Ⅱ
Description
A 71-year-old female came to our hospital with
upper abdominal pain, fever, and jaundice, and was
diagnosed with severe acute biliary pancreatitis.
Upon admission, the patient underwent emergency
endoscopic retrograde cholangiopancreatography and
endoscopic sphincterotomy procedures, as well as
endoscopic retrograde biliary drainage. Although
pseudocyst formation was observed, no symptoms
were presented and she was discharged. One month
after, she was admitted again due to pain caused by
pseudocyst enlargement and the symptoms persisted
following conservative treatment. Although we performed
endoscopic ultrasonography-guided drainage
for the pancreatic pseudocyst, abdominal pain continued
and abdominal computed tomography revealed
that the pseudocyst was again enlarged. Since insufficient
drainage seemed to be the cause, additionally
balloon dilatation and placement of plastic stents for
the fistulae were performed. There are no guidelines
available for selection of drainage period or number
of stents in pseudocyst cases, and additional studies
regarding management of affected patients are
needed.
Subject
EUS
drainage
pancreatic pseudocyst
recurrence
Journal Title
Shimane Journal of Medical Science
Volume
34
Issue
2
Start Page
73
End Page
80
ISSN
03865959
ISSN(Online)
24332410
Published Date
2017-12-31
NCID
AA00841586
Publisher
Faculty of Medicine, Shimane University
Publisher Aalternative
島根大学医学部
NII Type
Departmental Bulletin Paper
Format
PDF
Rights
Faculty of Medicine, Shimane University
Text Version
出版社版
OAI-PMH Set
Faculty of Medicine