학술논문
A case of pancreatic abscess after pancreaticoduodenectomy with obstruction by lost stent tube treated by endoscopic trans-gastric drainage / 膵頭十二指腸切除術後の膵管空腸吻合部ロストステントの閉塞が発症原因と考えられた膵膿瘍に対して経胃的ドレナージが奏功した1例
Document Type
Journal Article
Author
Goshi MATSUKI; Hidenori YANAGI; Kiyohiko KISHI; Masataka FUJIKAWA; Meidai KASAI; Naoki YAMANAKA; Norihiro NISHIJIMA; Noriko ICHISE; Ryo OKAMOTO; Shinichi IKUTA; Takayoshi NAKAJIMA; Tomotaro KAWAZOE; Tsukasa AIHARA; Yoshihiko NAKAMOTO; Yoshiki NANDO; Yoshiyuki SAKAI; Yukio OSAKI; 一瀬 規子; 中島 隆善; 仲本 嘉彦; 南堂 吉紀; 坂井 良行; 大﨑 往夫; 山中 若樹; 岡本 亮; 岸 清彦; 川添 智太郎; 松木 豪志; 栁 秀憲; 生田 真一; 相原 司; 笠井 明大; 藤川 正隆; 西島 規浩
Source
膵臓 / Suizo. 2023, 38(6):420
Subject
Language
Japanese
ISSN
0913-0071
1881-2805
1881-2805
Abstract
An 85-year-old man underwent a pancreaticoduodenectomy (PD) for moderately differentiated tubular adenocarcinoma and had been followed recurrence-free without adjuvant chemotherapy. Three years and 10 months after the operation, he was referred to us with the chief complaints of epigastric pain. A blood test showed increased inflammatory reaction, and enhanced abdominal computed tomography revealed multilocular effusion in the remnant pancreas. A lost stent placed at the pancreaticojejunostomy was found to remain in the pancreatic duct, and we thus diagnosed a pancreatic abscess caused by its obstruction. The abscess was in close contact with the posterior wall of the stomach, and trans-gastric drainage was performed using endoscopic ultrasonography. The inflammatory findings and symptoms were immediately improved after drainage and the abscess cavity was significantly reduced. The lost stent spontaneously fell off and no recurrence of symptoms has been observed since. To the best of our knowledge, this is the first report of pancreatic abscess after PD with obstruction of a lost stent tube treated by endoscopic trans-gastric drainage.