GASTROENTEROLOGICAL ENDOSCOPY
Online ISSN : 1884-5738
Print ISSN : 0387-1207
ISSN-L : 0387-1207
SUPPURATIVE PANCREATIC DUCTITIS IN A PATIENT WITH PANCREATIC DUCTAL CARCINOMA : A CASE REPORT
Satoshi FUKUCHIKeisuke KINOSHITATomoko SAITOHTakuroh UCHIDAMasao IWAOHiroki SHOHTsutomu YAMASHITAOsamu NIIZEKIToyokichi MUROKazunari MURAKAMI
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2015 Volume 57 Issue 3 Pages 247-253

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Abstract
A 71-year-old man was diagnosed with pancreatic carcinoma from the pancreatic head to the pancreatic body by endoscopic ultrasonography fine-needle aspiration. Since he was found to have duodenal stenosis, he underwent duodenal (bulbus) stenting. While he was receiving chemotherapy with gemcitabine, he complained of high-grade fever. Laboratory results showed a markedly elevated serum C-reactive protein level. Abdominal CT showed dilatation of a pancreatic branch duct and a high density of fat tissue around the pancreas.
We performed endoscopic retrograde cholangiopancreatography (ERCP) and endoscopic pancreatic duct drainage. Purulent pancreatic fluid was drained endoscopically by a 5Fr plastic stent in the main duct, resulting in marked improvement of clinical symptoms. After stenting, his high-grade fever alleviated and his CRP level decreased.
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© 2015 Japan Gastroenterological Endoscopy Society
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