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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
2009
Gastroenterological Endoscopy
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
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
doi:10.11280/gee.51.1159
fatcat:4k2ah6ozwbb5dene2oyq2ws5wy