Progress of Digestive Endoscopy
Online ISSN : 2187-4999
Print ISSN : 1348-9844
ISSN-L : 1348-9844
症例
膵管ステントが著効した細菌性腹膜炎を伴った膵性腹水の1例
和気 泰次郎田中 啓倉田 仁檀 直彰
著者情報
キーワード: 膵性腹水, 細菌性腹膜炎
ジャーナル フリー

2015 年 86 巻 1 号 p. 222-223

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A 64-year-old male was admitted to our hospital with the chief complaint of severe abdominal distension. Abdominal CT findings showed massive ascites due to a non-malignant pancreatic disease. Amylase and protein in ascitic fluid were high level.
From the above results, pancreatic ascites was suspected and he was treated with conservative therapy. On day 16, endoscopic retrograde pancreatography revealed transudation of contrast medium from the pancreatic duct. A pancreatic duct stent was placed, but he was complicated with bacterial peritonitis on day 23. The peritonitis was gradually improved by antibiotics and ascites drainage. The ascites disappeared in the CT before discharge. Thereafter we removed a pancreatic duct stent discharge 40 days later, he has now been in good health without a recurrence.
著者関連情報
© 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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