A case of postoperative pancreatic fistula of perihilar cholangiocarcinoma with pancreaticobiliary maljunction treated by endoscopic naso-pancreatic drainage

Abstract

Endoscopic naso-pancreatic drainage (ENPD) is a good tool for diagnosis of pancreatic disease and for treatment of pancreatitis and postoperative pancreatic fistula (POPF) after pancreatectomy. A 66-year-old woman had loss of appetite and jaundice, and was diagnosed with perihilar cholangiocarcinoma with pancreaticobiliary maljunction. She underwent extended right hepatectomy with total caudate lobectomy, resection of the extrahepatic bile duct and portal vein. But she got POPF from bile duct margin at duodenal side. ENPD was insered and effective for treatment of POPF.