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Vol.53 (2007) >

Please use this identifier to cite or link to this item: http://ir.fmu.ac.jp/dspace/handle/123456789/203

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Title: A case of transgastric gallbladder puncture as a complication during endoscopic ultrasound-guided drainage of a pancreatic pseudocyst
Other Titles: EUS-guided pancreatic pseudocyst drainage
Authors: Hikichi, Takuto
Irisawa, Atsushi
Takagi, Tadayuki
Shibukawa, Goro
Wakatsuki, Takeru
Imamura, Hidemichi
Takahashi, Yuta
Sato, Ai
Sato, Masaki
Oyama, Hitoshi
Sato, Naoto
Yamamoto, Go
Mokonuma, Tatsuyuki
Obara, Katsutoshi
Ohira, Hiromasa
Affiliation: 内視鏡診療部
内科学第二講座
Source title: Fukushima Journal of Medical Science
Volume: 53
Issue: 1
Start page: 11
End page: 18
Issue Date: Jun-2007
Abstract: A 43-year-old man, a regular drinker, developed a pseudocyst in the pancreatic tail as a result of acutely worsening chronic pancreatitis. Because the pseudocyst, 10 cm in diameter, did not disappear despite conservative treatment, an internal drainage stent was placed transgastrically under endoscopic ultrasound (EUS) guidance. However, cyst infection occurred, and EUS-guided drainage was performed, when the gallbladder was punctured inadvertently. Immediately a nasocystic drain was placed in the gallbladder. Owing to this timely measure, only mild and localized peritonitis developed. Conservative treatment with fasting and an antibiotic was administered, and peritonitis subsided quickly. On the same day, another nasocystic drain was placed for the pancreatic pseudocyst, and it disappeared. As far as we know, this is the first case in which gallbladder puncture was inadvertently performed during EUS-guided drainage of a pancreatic pseudocyst.
Publisher: The Fukushima Society of Medical Science
Publisher (Alternative foam): 福島医学会
language: eng
URI: http://ir.fmu.ac.jp/dspace/handle/123456789/203
Full text URL: http://ir.fmu.ac.jp/dspace/bitstream/123456789/203/1/FksmJMedSci_53_p11.pdf
ISSN: 0016-2590
PubMed ID: 17957961
Rights: © 2007 The Fukushima Society of Medical Science
Appears in Collections:Vol.53 (2007)

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FksmJMedSci_53_p11.pdf1.36 MBAdobe PDFDownload

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