Mahnken Andreas H, Günther Rolf W, Winograd Ron
Department of Diagnostic Radiology, University Hospital, RWTH Aachen University, Pauwelsstrasse 30, 52074 Aachen, Germany.
Cardiovasc Intervent Radiol. 2008 Jul;31 Suppl 2:S217-20. doi: 10.1007/s00270-007-9152-0. Epub 2007 Sep 1.
Pancreatic pseudocysts may occur in up to 10% of patients with acute or chronic pancreatitis. Symptomatic, persistent, and infected pancreatic pseudocysts require interventional therapy. We present the case of a patient with complete dislocation of a double pigtail catheter into an infected pseudocyst and the repositioning of the drainage catheter using a transgastric snaring technique. The combination of CT-guided percutaneous puncture and fluoroscopic snaring permitted minimally invasive management of this rare complication.
胰腺假性囊肿在高达10%的急性或慢性胰腺炎患者中可能出现。有症状的、持续存在的以及感染性胰腺假性囊肿需要进行介入治疗。我们报告一例患者，其双猪尾导管完全移位至感染性假性囊肿内，并采用经胃圈套技术重新放置引流导管。CT引导下经皮穿刺与透视下圈套技术相结合，实现了对这种罕见并发症的微创处理。
