Endoscopic resolution of pseudocyst infection and necrosis as a complication of endoscopic pseudocyst drainage. A case report.
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.
Rodrigues
Rodrigo Azevedo
RA
Division of Gastroenterology, Federal University of São Paulo, São Paulo, Brazil. rodrigo.ar@terra.com.br
Correia
Lucianna Pereira da Motta Pires
LP
Rohr
Maria Rachel da Silveira
MR
Nakao
Frank Shigueo
FS
dos Santos
Marcus Melo Martins
MM
Ferrari
Angelo Paulo
AP
Della Libera
Ermelindo
E
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
D000900:Anti-Bacterial Agents