title: Endoscopic resolution of pseudocyst infection and necrosis as a complication of endoscopic pseudocyst drainage. A case report.
abstract: BACKGROUND
  Endoscopic therapy has recently gained importance as an option for the treatment of pancreatic necrosis. We report a case of transgastric endoscopic resolution of pseudocyst infection and necrosis as a complication of endoscopic pseudocyst drainage.
  
  
  METHODS
  The patient underwent several sessions of endoscopic removal of debris and necrotic material, intercalated with daily lavage and aspiration through a nasocystic tube.
  
  
  CONCLUSIONS
  At the present time, fourteen months after pancreatic pseudocyst secondary infection, the patient remains asymptomatic with no radiographic signs of pseudocyst recurrence. Transmural endoscopic therapy followed by continuous drainage and necrosectomy is a reasonable option for treating the pancreatic pseudocyst secondary infection.
authors.affiliation: Division of Gastroenterology, Federal University of São Paulo, São Paulo, Brazil. rodrigo.ar@terra.com.br
authors.forename: Rodrigo Azevedo
authors.initials: RA
authors.lastname: Rodrigues
authors.forename: Lucianna Pereira da Motta Pires
authors.initials: LP
authors.lastname: Correia
authors.forename: Maria Rachel da Silveira
authors.initials: MR
authors.lastname: Rohr
authors.forename: Frank Shigueo
authors.initials: FS
authors.lastname: Nakao
authors.forename: Marcus Melo Martins
authors.initials: MM
authors.lastname: dos Santos
authors.forename: Angelo Paulo
authors.initials: AP
authors.lastname: Ferrari
authors.forename: Ermelindo
authors.initials: E
authors.lastname: Della Libera
mesh_terms: D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002404:Catheterization; D004322:Drainage / Q000009:adverse effects*; D004724:Endoscopy / Q000009:adverse effects*; D005548:Foreign-Body Migration / Q000175:diagnosis / Q000601:surgery; D006801:Humans; D008107:Liver Diseases / Q000150:complications*; D008297:Male; D010192:Pancreatic Pseudocyst / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D050500:Pancreatitis, Chronic / Q000150:complications*; D012086:Reoperation; D015607:Stents / Q000009:adverse effects; D013530:Surgical Wound Infection / Q000188:drug therapy / Q000209:etiology* / Q000601:surgery; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents