Suizo
Online ISSN : 1881-2805
Print ISSN : 0913-0071
ISSN-L : 0913-0071
Case Reports
Successful drainage with endoscopic cystgastrostomy for pancreatic pseudocyst after L-asparaginase-induced pancreatitis in a child with acute leukemia
Kazuyuki IMAKIIRETakafumi YAMAMOTOKeita FUNAKAWA
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JOURNAL FREE ACCESS

2009 Volume 24 Issue 5 Pages 610-615

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Abstract
The patient was an 11-year-old boy who suffered from acute lymphoblastic leukemia. After chemotherapy with L-asparaginase, he developed a pancreatic pseudocyst after acute pancreatitis that became enlarged and suppressed his stomach. Occasionally, the capsule of a pancreatic pseudocyst does not possess a true epithelial lining and is surrounded by fibrosis tissue filled with pancreatic debris, necrotic tissue, enzymes, blood, and fluids. Such pseudocysts should be drained by such techniques as surgical drainage, endoscopic drainage, and percutaneous drainage. We successfully perfomed cystgastrostomy for external drainage of the cyst with ultrasonic endoscopy. Endoscopic puncture seems to be useful as a treatment for pancreatic pseudocyst in children.
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© 2009 Japan Pancreas Society
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