A Case of Endoscopic Drainage of Pancreatic Abscess with Biliary Stent.
- Author:
Sung Gwon KIM
1
;
Hyun Chul PARK
;
Ju Hyun KIM
;
Dong Hoon KANG
;
Sun Suk KIM
;
Chan Jong SEO
;
Chul KIM
;
Jung Bae JEONG
;
Hwa Eun LEE
;
Seong Tae KIM
;
Jong Jae PARK
Author Information
1. Department of Internal Medicine, Gacheon Medical College, Inchon, Korea.
- Publication Type:Case Report
- Keywords:
Pancreatic abscess;
Endoscopic drainage;
Biliary stent
- MeSH:
Abscess*;
Critical Illness;
Drainage*;
Duodenum;
Fistula;
Hemorrhage;
Humans;
Mortality;
Pancreatic Pseudocyst;
Pancreatitis;
Recurrence;
Stents*;
Stomach
- From:Korean Journal of Medicine
1999;56(2):203-208
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Pancreatic abscess is a highly lethal infectious complication of acute pancreatitis despite a wide variety of operative approaches and percutaneous drainage for the treatment. Surgical drainage has its limitation because of high postoperative mortality, recurrence, operative hemorrhage and/or gastrointestinal fistula. Percutaneous drainage has been used only as a temporizing measure prior to operation in critically ill patient or as additional modality for a postoperative recurrent abscess. Endoscopic drainage can be indicated as a primary therapy for the well-localized paraintestinal pancreatic abscess bulging into the duodenal or gastric lumen, as it has been proven successful in patients with pancreatic pseudocyst compressing duodenum or stomach. However, the report is rare. We report a case of pancreatic abscess successfully treated with endoscopic drainage without any complications.
