Pancreatic Pseudocyst after Fully Covered Self-expandable Metallic Stent Placement

被引：0

作者：

Koizumi, Mitsuhito ^{[1
]}

Ishikawa, Sho ^{[1
]}

Marui, Kaori ^{[1
]}

Kokubu, Masahito ^{[1
]}

Okujima, Yusuke ^{[1
]}

Numata, Yuki ^{[1
]}

Imamura, Yoshiki ^{[1
]}

Kumagi, Teru ^{[1
,2
]}

Hiasa, Yoichi ^{[1
]}

机构：

[1] Ehime Univ, Grad Sch Med, Gastroenterol & Metabol, Matsuyama, Japan

[2] Ehime Univ Hosp, Postgrad Med Educ Ctr, Matsuyama, Japan

来源：

INTERNAL MEDICINE | 2024年 / 63卷 / 21期

关键词：

pancreatic pseudocyst; fully covered self-expandable metallic stent; pancreatic cancer; MANAGEMENT; RISK;

D O I：

10.2169/internalmedicine.3178-23

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

A 70-year-old woman presented with stage III pancreatic head cancer. After endoscopic sphincterotomy, a fully covered self-expandable metallic stent (FCSEMS) was placed in the common bile duct to manage jaundice. The patient developed a fever and abdominal pain 40 days after stent placement, with a suspected diagnosis of infected pancreatic pseudocyst. Purulent discharge from the papilla was observed during FCSEMS removal, and pancreatography revealed a pseudocyst connected to the main pancreatic duct. The pancreatic pseudocyst resolved after transpapillary drainage. Pancreatic pseudocysts should be suspected after biliary FCSEMS placement, and prompt removal and endoscopic drainage of the FCSEMS should be considered.

引用

页码：2943 / 2947

页数：5

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