Korean J Gastrointest Endosc > Volume 20(1); 2000 > Article
Korean Journal of Gastrointestinal Endoscopy 2000;20(1): 77-82.
인터페론에 의한 급성췌장염에 합병된 다발성 췌장농양 1예 ( A Case of Pancreatic Abscesses Complicating Acute Pancreatitis Associated with Interferon Therapy )
윤형선,윤형선(Hyung Seon Yun),박종재(Jong Jae Park),조해석(Hae Seok Cho),김은아(Eun A Kim),박동균(Dong Kyun Park),김선숙(Sun Suk Kim),강동훈(Dong Hoon Kang),최덕주(Duck Joo Choi),박현철(Hyun Chul Park),이정남(Jung Nam Lee),윤명환(Myung Hwan Yoon),김주현(Ju Hyun Kim)
A patient experienced a silent gallstone accompanied by acute severe pancreatitis during interferon theraphy for renal cell carcinoma. Although the gallstone was highly suspected to be the cause of the pancreatits, there were no duodenoscopic or endoscopic retrograde cholangiopancreatographic findings suggesting gallstone pancreatitis such as papillitis, impacted papillary and common bile duct stones, and/or a wider cystic or pancreatic duct, respectively. It is believed that the acute pancreatitis in the presenting case was probably caused by interferon because 1) sludge nor biliary crystal was not detected by light microscopic examination, 2) no tumors, anomalies, nor any obstructing ductal lesions in the pancreas were found, 3) this patient had no other potential causes of acute pancreatitis, and 4) there was no use of potential drugs which could be responsible for the acute pancreatitis other than interferon. In addition, trials of endoscopic drainage of complicated pancreatic abscesses were discussed. (Korean J Gastrointest Endosc 2000;20:77~82)
Key Words: Acute pancreatitis, Drug-induced, Interferon, Pancreatic abscess, Endoscopic drainage
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