Iatrogenic pancreatic cyst perforation successfully managed by a minimally invasive combined endoscopic–laparoscopic approach.
Endoscopic treatment of walled-off pancreatic necrosis is becoming more prevalent in clinical practice, although perforation may complicate 5% of cases, and efficient management of this complication is imperative. In this report, we present a case of necrosis cavity perforation successfully managed by a combined laparoscopic–endoscopic approach, with a novel method of luminal defect closure.
Elmunzer
B Joseph
BJ
Division of Gastroenterology, University of Michigan Medical Center, Ann Arbor, Michigan 48109, USA.
Boetticher
Nicholas C
NC
Mobley
Constance M
CM
Brewster
Mark E
ME
Sonnenday
Christopher J
CJ
D015746:Abdominal Pain / Q000209:etiology; D000328:Adult; D013505:Digestive System Surgical Procedures / Q000009:adverse effects; D004724:Endoscopy / Q000009:adverse effects / Q000379:methods*; D005260:Female; D042882:Gallstones / Q000150:complications / Q000601:surgery; D046449:Hernia, Abdominal / Q000209:etiology / Q000601:surgery; D006801:Humans; D007049:Iatrogenic Disease; D010535:Laparoscopy / Q000009:adverse effects / Q000379:methods*; D009336:Necrosis / Q000601:surgery; D010179:Pancreas / Q000473:pathology; D010181:Pancreatic Cyst / Q000209:etiology / Q000601:surgery*; D010195:Pancreatitis / Q000150:complications / Q000601:surgery; D011027:Pneumoperitoneum / Q000209:etiology