超音波内視鏡ガイド下膵仮性嚢胞ドレナージ術が有効であった1例

中村 健二; 山口 康晴; 青木 圭; 村山 隆夫; 畑 英行; 田部井 弘一; 内田 康仁; 川越 圭; 蓮江 智彦; 比嘉 晃二; 田内 優; 土岐 真朗; 両角 克朗; 高橋 信一

doi:10.11641/pde.77.2_152

EUS guided pancreatic pseudocyst drinage provides useful and safe treatment for pancreatic pseudocyst : A Case report

Kenji Nakamura, Yasuharu Yamaguchi, Kei Aoki, Takao Murayama, Hideyuki Hata, Kouichi Tabei, Yasuhito Uchida, Kei Kawagoe, Tomohiko Hasue, Kouji Higa, Masaru Tauchi, Masao Toki, Katurou Morozumi, Shin-ichi Takahashi

Author information

Kenji Nakamura
The Third Department of Internal Medicine, Kyorin University School of Medicine
Yasuharu Yamaguchi
The Third Department of Internal Medicine, Kyorin University School of Medicine
Kei Aoki
The Third Department of Internal Medicine, Kyorin University School of Medicine
Takao Murayama
The Third Department of Internal Medicine, Kyorin University School of Medicine
Hideyuki Hata
The Third Department of Internal Medicine, Kyorin University School of Medicine
Kouichi Tabei
The Third Department of Internal Medicine, Kyorin University School of Medicine
Yasuhito Uchida
The Third Department of Internal Medicine, Kyorin University School of Medicine
Kei Kawagoe
The Third Department of Internal Medicine, Kyorin University School of Medicine
Tomohiko Hasue
The Third Department of Internal Medicine, Kyorin University School of Medicine
Kouji Higa
The Third Department of Internal Medicine, Kyorin University School of Medicine
Masaru Tauchi
The Third Department of Internal Medicine, Kyorin University School of Medicine
Masao Toki
The Third Department of Internal Medicine, Kyorin University School of Medicine
Katurou Morozumi
The Third Department of Internal Medicine, Kyorin University School of Medicine
Shin-ichi Takahashi
The Third Department of Internal Medicine, Kyorin University School of Medicine

JOURNAL FREE ACCESS

2010 Volume 77 Issue 2 Pages 152-153

DOI https://doi.org/10.11641/pde.77.2_152

Details

Abstract

A 45-year-old woman was admitted to our hospital due to abdominal pain. The patient had been diagnosed with chronic pancreatitis induced by alcohol abuse. Abdominal CT scan demonstrated a pancreatic pseudocyst more than 90mm in diameter. The patient underwent EUS-guided pancreatic pseudocyst drainage by simultaneous placement of 7Fr. double pig-tail biliary stent and 5Fr. nasocystic catheter. Two weeks later, the pancreatic peudocyst had decreased in size, and a second stent was placed to drain the cavity. A follow up CT scan 2 months later showed that the pancreatic pseudocyst had disappeared, and no recurrence has been observed.
This case suggested that treatment with EUS guided drainage is useful and safe for pancreatic pseudocyst induced exacerbation of chronic pancreatitis.

Fullsize Image

Corresponding author

Register with J-STAGE for free!