title: [Endoscopic ultrasound-guided transmural cyst drainage (EUS-CD) was effective in a case of pancreatic pseudocyst with obstructive jaundice and duodenal stenosis].
abstract: 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.
authors.affiliation: Department of Gastroenterology, Jichi Medical University, Japan.
authors.forename: Hideaki
authors.initials: H
authors.lastname: Honda
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Miyatani
authors.forename: Takashi
authors.initials: T
authors.lastname: Ikeya
authors.forename: Kenichi
authors.initials: K
authors.lastname: Yamanaka
authors.forename: Masatoshi
authors.initials: M
authors.lastname: Ikeda
authors.forename: Shinya
authors.initials: S
authors.lastname: Ushimaru
authors.forename: Toru
authors.initials: T
authors.lastname: Takamatsu
authors.forename: Takaaki
authors.initials: T
authors.lastname: Iwaki
authors.forename: Noriyoshi
authors.initials: N
authors.lastname: Sagihara
authors.forename: Yukio
authors.initials: Y
authors.lastname: Yoshida
mesh_terms: 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