Endoscopic Ultrasound-guided Drainage of Fluid Collection on Lesser Sac after Pancreaticoduodenectomy Not Accessible to Percutaneous Drainage.
10.15279/kpba.2015.20.4.228
- Author:
Chung Jo CHOI
1
;
Sung Hoon MOON
;
Jong Hyeok KIM
;
Ji Won PARK
;
Sung Eun KIM
;
Choong Kee PARK
;
Jang Yong JEON
Author Information
1. Department of Internal Medicine, Hallym University Sacred Heart Hospital, Hallym University College of Medicine, Anyang, Korea. endomoon@naver.com
- Publication Type:Case Report
- Keywords:
Pancreaticoduodenectomy;
Postoperative complication;
Endosonography;
Drainage
- MeSH:
Abdominal Pain;
Cholangiocarcinoma;
Common Bile Duct;
Drainage*;
Endosonography;
Female;
Fever;
Humans;
Jaundice;
Korea;
Length of Stay;
Leukocytosis;
Middle Aged;
Mortality;
Pancreaticoduodenectomy*;
Peritoneal Cavity*;
Postoperative Complications;
Weight Loss
- From:Korean Journal of Pancreas and Biliary Tract
2015;20(4):228-233
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Postoperative fluid collection is a major complication after pancreaticoduodenectomy and can lead to increased mortality and hospital length of stay. External drainage has widely been used for postoperative fluid collections. Recently, EUS-guided drainage has also been used successfully in treating postoperative fluid collections. A 60-year-old woman was admitted due to weight loss and jaundice. She underwent pancreaticoduodenectomy for cholangiocarcinoma of the common bile duct. After 2 weeks, she had fever with abdominal pain and leukocytosis. CT showed a increased fluid collection in superior recess of lesser sac and EUS-guided drainage was performed. The symptoms resolved without any complication after drainage. This is the first case report of EUS-guided drainage for lesser sac in Korea.
