Endoscopic Ultrasound Guided Drainage of Perihepatic Fluid Collection after Laparoscopic Pylorus Preserving Pancreaticoduodenectomy. |
Eun Kwang Choi |
Department of Internal Medicine, Jeju National University School of Medicine, Jeju, korea |
Correspondence:
Eun Kwang Choi, Email: cek@jejunu.ac.kr |
Received: 25 January 2014 • Revised: 3 February 2014 • Accepted: 8 February 2014 |
Abstract |
27 year old woman visited ER due to severe epigastric pain who underwent laparoscopic pylorus preserving pancreaticoduodenectomy due to solid pseudopapillary tumor 3 years ago. CT scan showed loculated fluid collection in the perihepatic space. The fluid collection was punctured using a curvilinear echoendoscope followed by the placement of two 7-Fr double pigtail plastic stents across the liver. There were no early or delayed complications and the procedure was effective in relieving pain. Follow-up CT scan after 8 weeks showed completely resolved fluid collection. EUS guided drainage can be a feasible way to resolve the symptom in patient with fluid collection after pancreatic resection. |
Key Words:
Endoscopic Ultrasound (EUS) Guided Drainage, Postoperative Fluid Collection |