[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: Hideaki Honda, Hiroyuki Miyatani, Takashi Ikeya, Kenichi Yamanaka, Masatoshi Ikeda, Shinya Ushimaru, Toru Takamatsu, Takaaki Iwaki, Noriyoshi Sagihara, Yukio Yoshida
• Journal: Nihon Shokakibyo Gakkai zasshi = The Japanese journal of gastro-enterology (Nihon Shokakibyo Gakkai Zasshi) Vol. 107 Issue 9 Pg. 1497-504 (Sep 2010) ISSN: 0446-6586 [Print] Japan
• PMID: 20827047 (Publication Type: Case Reports, Journal Article, Review)

Topics

• Adult
• Cholangiopancreatography, Endoscopic Retrograde
• Constriction, Pathologic (complications)
• Drainage (methods)
• Duodenal Diseases (complications, therapy)
• Humans
• Jaundice, Obstructive (complications, therapy)
• Male
• Pancreatic Pseudocyst (complications, diagnostic imaging, surgery)
• Stents
• Ultrasonography