Acute Pancreatitis Induced by Compression of Main Pancreatic Duct due to Large Stones and Catheter in the Common Bile Duct.
10.15279/kpba.2017.22.2.87
- Author:
Young Min CHOI
1
;
Seung Uk JEONG
;
Hwa Young LEE
;
Hoe Soo JANG
;
Eun Kwang CHOI
Author Information
1. Department of Internal Medicine, Jeju National University School of Medicine, Jeju, Korea. suhmok@jejunu.ac.kr
- Publication Type:Case Report
- Keywords:
Catheter;
Common bile duct;
Stone;
Pancreatitis
- MeSH:
Aged;
Ampulla of Vater;
Catheters*;
Cholangiography;
Cholangitis;
Common Bile Duct*;
Dilatation;
Emergency Service, Hospital;
Female;
Humans;
Pancreatic Ducts*;
Pancreatitis*
- From:Korean Journal of Pancreas and Biliary Tract
2017;22(2):87-91
- CountryRepublic of Korea
- Language:English
-
Abstract:
Acute pancreatitis is occasionally caused by endoscopic treatments or radiologic interventions of the pancreatobiliary tract. However, no reports indicate that acute pancreatitis resulted from the insertion of a percutaneous transhepatic cholangiography (PTCS) catheter in the common bile duct (CBD). A 65-year-old woman visited our hospital with acute cholangitis due to about 3 cm-sized CBD stones. We planned to perform PTCS because of the large stones and altered anatomy (Billroth II). The patient was discharged after tract dilatation and insertion of a PTCS catheter in the distal CBD without manipulations of Ampulla of Vater (AOV). However, she visited the emergency room due to acute pancreatitis at three days after discharge. Computed tomography revealed upstream dilation of the main pancreatic duct following the compressed area of a large stone and catheter. Thus, we report a case that presented with acute pancreatitis induced by insertion of a PTCS catheter without manipulations of AOV.
