title: Pancreatic injury successfully treated with endoscopic stenting for major pancreatic duct disruption.
abstract: 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.
authors.affiliation: Department of General Medicine and Gastroenterology, Faculty of Medicine, Oita University, Yufu, Japan. takashi0315@med.oita-u.ac.jp
authors.forename: Takashi
authors.initials: T
authors.lastname: Abe
authors.forename: Takayuki
authors.initials: T
authors.lastname: Nagai
authors.forename: Kazunari
authors.initials: K
authors.lastname: Murakami
authors.forename: Juro
authors.initials: J
authors.lastname: Anan
authors.forename: Masahiro
authors.initials: M
authors.lastname: Uchida
authors.forename: Hideki
authors.initials: H
authors.lastname: Ono
authors.forename: Hitoshi
authors.initials: H
authors.lastname: Okawara
authors.forename: Jin
authors.initials: J
authors.lastname: Tanahashi
authors.forename: Tadayoshi
authors.initials: T
authors.lastname: Okimoto
authors.forename: Masaaki
authors.initials: M
authors.lastname: Kodama
authors.forename: Toshio
authors.initials: T
authors.lastname: Fujioka
mesh_terms: 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*