紀要論文 Recurrence of Pancreatic Pseudocyst following Endoscopic Ultrasonography-Guided Drainage

Selim, Ahmed  ,  Fukuba, Nobuhiko  ,  Moriyama, Ichiro  ,  Sonoyama, Hiroki  ,  Fukuyama, Chika  ,  Sumi, Shohei  ,  Mishima, Yoshiyuki  ,  Ishihara, Shunji  ,  Kinoshita, Yoshikazu

34 ( 2 )  , pp.73 - 80 , 2017-12-31 , Faculty of Medicine, Shimane University
ISSN:03865959
NII書誌ID(NCID):AA00841586
内容記述
A 71-year-old female came to our hospital withupper abdominal pain, fever, and jaundice, and wasdiagnosed with severe acute biliary pancreatitis.Upon admission, the patient underwent emergencyendoscopic retrograde cholangiopancreatography andendoscopic sphincterotomy procedures, as well asendoscopic retrograde biliary drainage. Althoughpseudocyst formation was observed, no symptomswere presented and she was discharged. One monthafter, she was admitted again due to pain caused bypseudocyst enlargement and the symptoms persistedfollowing conservative treatment. Although we performedendoscopic ultrasonography-guided drainagefor the pancreatic pseudocyst, abdominal pain continuedand abdominal computed tomography revealedthat the pseudocyst was again enlarged. Since insufficientdrainage seemed to be the cause, additionallyballoon dilatation and placement of plastic stents forthe fistulae were performed. There are no guidelinesavailable for selection of drainage period or numberof stents in pseudocyst cases, and additional studiesregarding management of affected patients areneeded.
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http://ir.lib.shimane-u.ac.jp/files/public/4/40713/20180115112351353571/Shimane J. Med. Sci.VOL34_no2_P73-P80.pdf

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