Internal Medicine
Online ISSN : 1349-7235
Print ISSN : 0918-2918
ISSN-L : 0918-2918
CASE REPORTS
Pancreatic Injury Successfully Treated with Endoscopic Stenting for Major Pancreatic Duct Disruption
Takashi Abe, Takayuki Nagai, Kazunari Murakami, Juro Anan, Masahiro Uchida, Hideki Ono, Hitoshi Okawara, Jin Tanahashi, Tadayoshi Okimoto, Masaaki Kodama, Toshio Fujioka
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Keywords: pancreatic injury, major pancreatic duct disruption, endoscopic stenting
JOURNAL OPEN ACCESS

2009 Volume 48 Issue 21 Pages 1889-1892

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Abstract

We present a 43-year-old Japanese man with major pancreatic duct disruption caused by blunt pancreatic head damage. Computed tomography (CT) revealed pancreatic head injury, and endoscopic retrograde pancreatography showed pancreatic duct disruption at the injury site along with contrast media leakage. We placed a pancreatic stent for 3 months, after which closure of the pancreatic duct fistula was confirmed. CT on the 9th hospital day showed acute pancreatic fluid collections, but these had disappeared at the 3 month follow-up CT. The patient has remained asymptomatic at follow-up for 3 years.

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© 2009 by The Japanese Society of Internal Medicine
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