Progress of Digestive Endoscopy
Online ISSN : 2187-4999
Print ISSN : 1348-9844
ISSN-L : 1348-9844
症例
EUS下膵膿瘍ドレナージ後にplastic stentが十二指腸を穿破した1例
味原 隆大高山 敬子栗山 朋子長尾 健太中村 真一白鳥 敬子福屋 裕嗣
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2015 年 86 巻 1 号 p. 150-151

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A patient in his 50's was referred to our hospital for the treatment of infected WON. He had been diagnosed with severe acute pancreatitis 3 months before. EUS-guided drainage with placement of a straight PS and nasal cystic drainage tube was performed, but the straight PS migrated proximally into the WON during the procedure. A metallic stent was placed 10 days later, and it reduced the size of the cavity. The metallic stent was retrieved 2 weeks later, and three pigtail PSs were inserted. He was referred to our hospital again with abdominal pain 11 months later. CT revealed penetration of the straight PS, which had originally been inserted through the horizontal part of the duodenum, and the three PSs through the duodenal bulb. The migrated straight PS and 2 of the 3 pigtail PSs were retrieved.
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© 2015 一般社団法人 日本消化器内視鏡学会 関東支部
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