Retroperitoneal abscess, Pancreatitis, Endoscopic drainage"/> Endoscopic Drainage Through a Duodenal Fistula in a Patient with a Retroperitoneal Abscess that Developed after Acute Pancreatitis
Korean J Gastrointest Endosc > Volume 38(2); 2009 > Article
Korean Journal of Gastrointestinal Endoscopy 2009;38(2): 116-119.
급성췌장염 후 발생한 후복막강 농양 환자에서 십이지장 누공을 통한 내시경배액술
정현정ㆍ정석ㆍ이돈행ㆍ박병도ㆍ최윤아ㆍ김형길ㆍ신용운ㆍ김영수
인하대학교 의과대학 내과학교실
Endoscopic Drainage Through a Duodenal Fistula in a Patient with a Retroperitoneal Abscess that Developed after Acute Pancreatitis
Hyun Jung Chung, M.D., Seok Jeong, M.D., Don Haeng Lee, M.D., Byoung Do Park, M.D., Yoon Ah Choi, M.D., Hyung Gil Kim, M.D., Yong Woon Shin, M.D. and Young Soo Kim, M.D.
Department of Internal Medicine, Inha University College of Medicine, Incheon, Korea
Abstract
The incidence of retroperitoneal abscess with fistula formation after acute pancreatitis is rare, but the mortality rate for patients with this condition is very high. The standard treatment for this condition has been surgical removal and drainage. However, recent studies have shown that percutaneous catheter drainage or noninvasive endoscopic abscess drainage with using endoscopic ultrasonography is effective and safe for the treatment of pancreatic and peripancreatic abscess. A retroperitoneal abscess with duodenal fistula that developed after acute pancreas and its endoscopic treatment has never been reported on in Korea. We experienced a 45-year-old man who had been treated for acute pancreatitis at other hospital, and he was then referred to our hospital and diagnosed as having a retroperitoneal abscess with fistula, which communicated with the third portion of duodenum, as assessed by abdominal CT and duodenoscopy. So we treated him with endoscopic double-pigtailed stent insertion through the fistulous tract and we drained the abscess. Endoscopic drainage may be a suitable alternative for the management of the retroperitoneal abscess with fistula that develops after acute pancreatitis. (Korean J Gastrointest Endosc 2009;38:116-120)
Key Words: Retroperitoneal abscess, Pancreatitis, Endoscopic drainage
주요어: 후복막강 농양, 췌장염, 내시경 배액술
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