Pancreatic injury successfully treated with endoscopic stenting for major pancreatic duct disruption.
We present a 43-year-old Japanese man with major pancreatic duct disruption caused by blunt pancreatic head damage. Computed tomography (CT) revealed pancreatic head injury, and endoscopic retrograde pancreatography showed pancreatic duct disruption at the injury site along with contrast media leakage. We placed a pancreatic stent for 3 months, after which closure of the pancreatic duct fistula was confirmed. CT on the 9th hospital day showed acute pancreatic fluid collections, but these had disappeared at the 3 month follow-up CT. The patient has remained asymptomatic at follow-up for 3 years.
Abe
Takashi
T
Department of General Medicine and Gastroenterology, Faculty of Medicine, Oita University, Yufu, Japan. takashi0315@med.oita-u.ac.jp
Nagai
Takayuki
T
Murakami
Kazunari
K
Anan
Juro
J
Uchida
Masahiro
M
Ono
Hideki
H
Okawara
Hitoshi
H
Tanahashi
Jin
J
Okimoto
Tadayoshi
T
Kodama
Masaaki
M
Fujioka
Toshio
T
D000328:Adult; D002760:Cholangiopancreatography, Endoscopic Retrograde / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D008297:Male; D010179:Pancreas / Q000293:injuries*; D010183:Pancreatic Ducts / Q000293:injuries*; D015607:Stents; D016896:Treatment Outcome; D014949:Wounds, Nonpenetrating / Q000628:therapy*