A Case of Pancreatic Pseudocyst Treated with Transjejunal Ultrasound-Guided Drainage Using a Laparoscopic Trocar

Abstract

The patient was a 66-year-old male who had undergone hepatopancreatoduodenectomy as treatment for bile duct cancer. Abdominal CT performed 5 months after primary surgery revealed a pancreatic pseudocyst (PPC) in the pancreaticojejunostomy. Two months after detection of the PPC, the patient developed abdominal pain and visited the emergency department. After a close examination, the cause of his abdominal pain was diagnosed as acute pancreatitis due to expansion of the PPC. Transjejunal endoscopic ultrasound-guided drainage was performed under laparotomy using a laparoscopic trocar inserted into the blind end of the jejunal limb, and this resulted in successful endoprosthesis of the PPC content.