Intraductal Papillary Neoplasm of the Bile Duct Treated with Argon Plasma Coagulation via Endoscopic Ultrasound-guided Choledochoduodenostomy

  • Nakahata Akiya
    Second Department of Internal Medicine, Wakayama Medical University, Japan
  • Yamashita Yasunobu
    Second Department of Internal Medicine, Wakayama Medical University, Japan
  • Yamazaki Hirofumi
    Second Department of Internal Medicine, Wakayama Medical University, Japan
  • Tsuda Ikuhisa
    Second Department of Internal Medicine, Wakayama Medical University, Japan
  • Kawaji Yuuki
    Second Department of Internal Medicine, Wakayama Medical University, Japan
  • Ashida Reiko
    Second Department of Internal Medicine, Wakayama Medical University, Japan
  • Kitano Masayuki
    Second Department of Internal Medicine, Wakayama Medical University, Japan

抄録

<p>A 93-year-old man presented to our hospital with a fever, abdominal pain, and jaundice. Computed tomography revealed bilateral bile duct dilation, cystic lesions with bile duct communication, and intraluminal solid nodules arising from the bile duct wall. The patient was diagnosed with intraductal papillary neoplasm of the bile duct. Surgery was not performed, considering the patient's age. It was impossible to control cholangitis using conventional endoscopic therapy. We therefore created an access route to the bile duct using endoscopic ultrasound-guided choledochoduodenostomy and inserted a lumen-apposed metal stent. Thereafter, we performed argon plasma coagulation of the tumor in the bile duct, which successfully prevented cholangitis recurrence. </p>

収録刊行物

  • Internal Medicine

    Internal Medicine 63 (7), 957-962, 2024-04-01

    一般社団法人 日本内科学会

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