EUS-GUIDED DRAINAGE OF PANCREATIC ABSCESS ASSOCIATED WITH SEVERE ACUTE PANCREATITIS : A CASE REPORT

Abstract

A 41-year-old man with severe acute pancreatitis was admitted to our hospital. The severity of acute pancreatitis was improved by intensive care therapy. However, a peripancreatic abscess developed near the pancreatic body through the left pelvis cavity. Percutaneous drainage for a peripancreatic abscess by CT guidance was not successful. Therefore, both a 7F double-pigtail stent and a 6F single-pigtail nasobilliary tube were placed in the abscess cavity under EUS guidance. Besides another abscess developed near the pancreatic head, we put a 7F double-pigtail stent into the abscess through the same route. Then the sizes of the abscesses were reduced and clinical status was ameliorated. EUS-guided drainage could be a quite useful technique for the treatment of pancreatic abscesses.