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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/123456789/207

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Title: Two cases of pancreatic abscess associated with penetration to the gastrointestinal tract during treatment using endoscopic ultrasound-guided drainage
Other Titles: Pancreatic abscess associated with penetration to the gastrointestinal tract
Authors: Imamura, Hidemichi
Irisawa, Atsushi
Takagi, Tadayuki
Shibukawa, Goro
Wakatsuki, Takeru
Takahashi, Yuta
Sato, Ai
Sato, Masaki
Hikichi, Takuto
Obara, Katsutoshi
Ohira, Hiromasa
Affiliation: 内科学第二講座
内視鏡診療部
Source title: Fukushima Journal of Medical Science
Volume: 53
Issue: 1
Start page: 39
End page: 49
Issue Date: Jun-2007
Abstract: Of pancreatic pseudocysts, approximately 30% are complicated by abscess formation, perforation into the abdominal cavity, penetration to the gastrointestinal tract, or bleeding. We report two cases of pancreatic abscess complicating severe acute pancreatitis in which the abscess penetrated to the gastrointestinal tract during the course of treatment with endoscopic ultrasound (EUS)-guided pseudocyst drainage. In these cases, neither aggravation nor recurrence of the pancreatic abscess has been identified since the event occurred. The EUS-guided treatment was effective for improvement of severe inflammation of the pseudocyst as an initial treatment. However, drainage tube placement limitations pertained because the pseudocyst was present with multilocular infection. Penetrations eventually contributed to their resolution because the fistulas were used as wide drainage routes. It is important to understand the courses of these cases for preparation of therapeutic strategies to treat pancreatic pseudocyst/abscess.
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/123456789/207
Full text URL: http://ir.fmu.ac.jp/dspace/bitstream/123456789/207/1/FksmJMedSci_53_p39.pdf
ISSN: 0016-2590
PubMed ID: 17957965
Rights: © 2007 The Fukushima Society of Medical Science
Appears in Collections:Vol.53 (2007)

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FksmJMedSci_53_p39.pdf1.71 MBAdobe PDFDownload

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