ENDOSCOPIC NASOPANCREATIC DRAINAGE WAS EFFECTIVE ON PANCREATIC ABSCESS AFTER SEVERE ACUTE PANCRETATITIS WITH PNEUOMORETROPERITONEUM : A CASE REPORT
内視鏡的経鼻膵管ドレナージが膵膿瘍のコントロールに有効であった膵管破綻を伴った重症急性膵炎の1例

Toru MATSUHASHI, Masataka KIKUYAMA, Yuzo SASADA, Yuji OTA, Jun NAKAHODO
2009 Gastroenterological Endoscopy  
A 66years-old-woman with abdominal pain was admitted. We diagnosed it as severe acute pancreatitis from findings of CT Grade Ⅳ. Pneumoretroperitoneum was recognized on the tertiary disease day and progressed gradually. On the18 disease day,we punctuated it,and pus was absorbed. Percutaneous abscess drainage was performed. Because the amylase value in pus was high, we suspected that pancreatic duct was disrupted and confirmed it on ERCP. ENPD was placed and abscess drainage reduced immediately
more » ... terwards. This case suggests that ERCP may be useful for controlling a pancreatic abscess after severe acute pancreatitis.
doi:10.11280/gee.51.1159 fatcat:4k2ah6ozwbb5dene2oyq2ws5wy