J Med Life Sci > Volume 10(3); 2014 > Article
Journal of Medicine and Life Science 2014;10(3):225-228.
DOI: https://doi.org/10.22730/jmls.2014.10.3.225    Published online February 28, 2014.
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
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