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Management of the late effects of disconnected pancreatic duct syndrome: A case report
BACKGROUND: There have been few reports about the late effects of disconnected pancreatic duct syndrome (DPDS). Although few reports have described the recurrence interval of pancreatitis, it might be rare for recurrence to occur more than 5 years later. Herein, we describe a case of recurrence in a...
Autores principales: | , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Baishideng Publishing Group Inc
2019
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6511923/ https://www.ncbi.nlm.nih.gov/pubmed/31123678 http://dx.doi.org/10.12998/wjcc.v7.i9.1053 |
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author | Yamada, Reiko Umeda, Yuhei Shiono, Yasunori Okuse, Hiroaki Kuroda, Naoki Tsuboi, Junya Inoue, Hiroyuki Hamada, Yasuhiko Tanaka, Kyosuke Horiki, Noriyuki Takei, Yoshiyuki |
author_facet | Yamada, Reiko Umeda, Yuhei Shiono, Yasunori Okuse, Hiroaki Kuroda, Naoki Tsuboi, Junya Inoue, Hiroyuki Hamada, Yasuhiko Tanaka, Kyosuke Horiki, Noriyuki Takei, Yoshiyuki |
author_sort | Yamada, Reiko |
collection | PubMed |
description | BACKGROUND: There have been few reports about the late effects of disconnected pancreatic duct syndrome (DPDS). Although few reports have described the recurrence interval of pancreatitis, it might be rare for recurrence to occur more than 5 years later. Herein, we describe a case of recurrence in an 81-year-old man after the treatment of walled-off necrosis (WON) with pancreatic transection 7 years ago. CASE SUMMARY: An 81-year-old man visited our hospital with chief complaints of fever and abdominal pain 7 years after the onset of WON due to severe necrotic pancreatitis. His medical history included an abdominal aortic aneurysm (AAA), hypertension, dyslipidemia, and chronic kidney disease. Computed tomography (CT) scan showed that the pancreatic fluid collection (PFC) had spread to the aorta with inflammation surrounding it, and CT findings suggested that bleeding occurred from the vasodilation due to splenic vein occlusion. First, we attempted to perform transpapillary drainage because of venous dilation around the residual stomach and the PFC. However, pancreatic duct drainage failed because of complete main pancreatic duct disruption. Second, we performed endoscopic ultrasound-guided drainage. After transmural drainage, the inflammation improved and stenting for the AAA was performed successfully. The inflammation was resolved, and he has been free from infection for more than 2 years after the procedure. CONCLUSION: This case highlights the importance of continued follow-up of patients for recurrence after the treatment of WON with pancreatic transection. |
format | Online Article Text |
id | pubmed-6511923 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Baishideng Publishing Group Inc |
record_format | MEDLINE/PubMed |
spelling | pubmed-65119232019-05-23 Management of the late effects of disconnected pancreatic duct syndrome: A case report Yamada, Reiko Umeda, Yuhei Shiono, Yasunori Okuse, Hiroaki Kuroda, Naoki Tsuboi, Junya Inoue, Hiroyuki Hamada, Yasuhiko Tanaka, Kyosuke Horiki, Noriyuki Takei, Yoshiyuki World J Clin Cases Case Report BACKGROUND: There have been few reports about the late effects of disconnected pancreatic duct syndrome (DPDS). Although few reports have described the recurrence interval of pancreatitis, it might be rare for recurrence to occur more than 5 years later. Herein, we describe a case of recurrence in an 81-year-old man after the treatment of walled-off necrosis (WON) with pancreatic transection 7 years ago. CASE SUMMARY: An 81-year-old man visited our hospital with chief complaints of fever and abdominal pain 7 years after the onset of WON due to severe necrotic pancreatitis. His medical history included an abdominal aortic aneurysm (AAA), hypertension, dyslipidemia, and chronic kidney disease. Computed tomography (CT) scan showed that the pancreatic fluid collection (PFC) had spread to the aorta with inflammation surrounding it, and CT findings suggested that bleeding occurred from the vasodilation due to splenic vein occlusion. First, we attempted to perform transpapillary drainage because of venous dilation around the residual stomach and the PFC. However, pancreatic duct drainage failed because of complete main pancreatic duct disruption. Second, we performed endoscopic ultrasound-guided drainage. After transmural drainage, the inflammation improved and stenting for the AAA was performed successfully. The inflammation was resolved, and he has been free from infection for more than 2 years after the procedure. CONCLUSION: This case highlights the importance of continued follow-up of patients for recurrence after the treatment of WON with pancreatic transection. Baishideng Publishing Group Inc 2019-05-06 2019-05-06 /pmc/articles/PMC6511923/ /pubmed/31123678 http://dx.doi.org/10.12998/wjcc.v7.i9.1053 Text en ©The Author(s) 2019. Published by Baishideng Publishing Group Inc. All rights reserved. http://creativecommons.org/licenses/by-nc/4.0/ This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. |
spellingShingle | Case Report Yamada, Reiko Umeda, Yuhei Shiono, Yasunori Okuse, Hiroaki Kuroda, Naoki Tsuboi, Junya Inoue, Hiroyuki Hamada, Yasuhiko Tanaka, Kyosuke Horiki, Noriyuki Takei, Yoshiyuki Management of the late effects of disconnected pancreatic duct syndrome: A case report |
title | Management of the late effects of disconnected pancreatic duct syndrome: A case report |
title_full | Management of the late effects of disconnected pancreatic duct syndrome: A case report |
title_fullStr | Management of the late effects of disconnected pancreatic duct syndrome: A case report |
title_full_unstemmed | Management of the late effects of disconnected pancreatic duct syndrome: A case report |
title_short | Management of the late effects of disconnected pancreatic duct syndrome: A case report |
title_sort | management of the late effects of disconnected pancreatic duct syndrome: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6511923/ https://www.ncbi.nlm.nih.gov/pubmed/31123678 http://dx.doi.org/10.12998/wjcc.v7.i9.1053 |
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