[Endoscopic ultrasound-guided transmural cyst drainage (EUS-CD) was effective in a case of pancreatic pseudocyst with obstructive jaundice and duodenal stenosis].
A 40-year-old man was admitted to our hospital because of epigastralgia and vomiting. His condition was diagnosed as acute pancreatitis with a pancreatic pseudocyst, obstructive jaundice, and duodenal stenosis. Because he had fever, abdominal pain, and elevated levels of C-reactive protein (CRP), endoscopic ultrasound-guided transmural cyst drainage (EUS-CD) was performed with a nasocystic tube on the 6th day. After the cyst was reduced and the patient recovered from the obstructive jaundice and duodenal stenosis, the nasal drainage tube was replaced with a plastic stent. Because a short extent of stenosis in the main pancreatic duct in the pancreatic head was found by endoscopic retrograde cholangiopancreatography (ERCP), a 5Fr pancreatic stent was placed to prevent pancreatitis. No recurrence of pancreatitis and the cyst occurred after removal of both stents 5 days later.
Honda
Hideaki
H
Department of Gastroenterology, Jichi Medical University, Japan.
Miyatani
Hiroyuki
H
Ikeya
Takashi
T
Yamanaka
Kenichi
K
Ikeda
Masatoshi
M
Ushimaru
Shinya
S
Takamatsu
Toru
T
Iwaki
Takaaki
T
Sagihara
Noriyoshi
N
Yoshida
Yukio
Y
D000328:Adult; D002760:Cholangiopancreatography, Endoscopic Retrograde; D003251:Constriction, Pathologic / Q000150:complications; D004322:Drainage / Q000379:methods*; D004378:Duodenal Diseases / Q000150:complications* / Q000628:therapy; D006801:Humans; D041781:Jaundice, Obstructive / Q000150:complications* / Q000628:therapy; D008297:Male; D010192:Pancreatic Pseudocyst / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery*; D015607:Stents; D014463:Ultrasonography