消化器内視鏡の進歩:Progress of Digestive Endoscopy
Online ISSN : 2189-0021
Print ISSN : 0389-9403
症例
体外衝撃波結石破砕療法と内視鏡的経鼻膵管ドレナージが有用であった膵石症の1例
古川 雅也中山 大寿松林 宏行穀野 真一郎糸井 隆夫真田 淳武田 一弥小野田 一敏真神 易堀部 俊哉新戸 禎哲関 知之斉藤 利彦今枝 博之
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ジャーナル フリー

1999 年 53 巻 p. 206-207

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A 67-year-old male who followed up for alcoholic chronic pancreatitis admitted with abdominal pain in another hospital. This patient was transferred to our hospital for treatment of pancreatolithiasis after emergency percutaneous transhepatic pancreatic cyst drainage to be detected pancreatolithiasis and pancreatic cyst on abdominal US and CT. ESWL was performed due to pancreatography through percutaneous transhepatic pancreatic cyst drainage tube showed MPD dilatation and pancreatolithiasis in the pancreas head.
Post ESWL pancreatography through percutaneous transhepatic drainage tube showed several fragmented stones in the pancreatic duct. To extract percutaneous transhepatic drainage tube safely, ENPD was performed. Percutaneous transhepatic drainage tube extracted two weeks later after clamp. The day after, pancreatography of ENPD tube showed several fragmented stones in the pancreatic duct. Therefore, endoscopic extraction of remaining stones were performed. It is no recurrence for ten monthes after.
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© 1999 一般社団法人 日本消化器内視鏡学会 関東支部
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