Year 2024 / Volume 116 / Number 7
Digestive Diseases Image
Transpapillary pancreatic duct stenting in the treatment of acute severe pancreatitis complicated by pancreatic pseudocyst compressing the portal vein leading to local portal hypertension

378-380

DOI: 10.17235/reed.2023.9930/2023

Jun Xie, Wei Chen, Hongming Liu,

Abstract
A 52-year-old male diagnosed with severe acute pancreatitis developed persistent abdominal distension and intermittent emesis six weeks after treatment. Computed tomography (CT) showed that the shape of the pancreas was not clear, and a pseudocyst (11.2*6.6 cm) existed in the tail of the pancreas, which compressed the portal vein and led to local portal hypertension. A transpapillary pancreatic duct stent (7F*9 cm) was successfully placed for drainage of fluid collection despite pancreatic duct obstruction, with one end into the pseudocyst cavity and the other into the duodenum. Duodenoscope observed outflow of the fluid collection immediately. Four days after the surgery, CT scan validated the location of the pancreatic duct stent, and the pancreatic pseudocyst was smaller than before. Another week later, the pancreatic pseudocyst nearly disappeared. No significant esophagogastric varix was observed by gastroscope, indicating a regression of local portal hypertension. The patient resumed eating normally, did not complain of vomiting, and was discharged from our hospital.
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References
Habashi S, Draganov PV. Pancreatic pseudocyst. World J Gastroenterol 2009;15(1):38-47. doi:10.3748/wjg.15.38
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Xie J, Chen W, Liu H. Transpapillary pancreatic duct stenting in the treatment of acute severe pancreatitis complicated by pancreatic pseudocyst compressing the portal vein leading to local portal hypertension. 9930/2023


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Publication history

Received: 03/09/2023

Accepted: 14/09/2023

Online First: 29/09/2023

Published: 08/07/2024

Article Online First time: 26 days

Article editing time: 309 days


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