Successful treatment of a pancreatic abcess caused by pancreatic duct stent

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  • 膵管ステントの閉塞による膵膿瘍に膵頭十二指腸切除術を行った1例

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Abstract

A 48-year-old man was admitted to our hospital with the chief complaint of back pain. He had a history of chronic pancreatitis, and was diagnosed with acute exacerbation. An endoscopic pancreatic duct stent placement was performed, and the symptom was relieved within a week. One month after the stent placement, abdominal-enhanced computed tomography (CT) revealed a 30-mm ring-enhanced low density mass in the pancreas head. The symptoms of pancreatitis had recurred, and therefore pancreatoduodenectomy was performed to treat the abscess in the pancreas head. The specimen showed focal necrotizing pancreatitis in the pancreas head, with marked fibrosis in the surrounding tissue. The patient was successfully treated surgically, and showed no glucose tolerance disorder for 24 months.

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