Kimura Hiroko, Kamba Tomomi, Atsuta Takeshi, Makino Yuki, Oae Masashi, Matsui Yoshiyuki, Imamura Masaaki, Shimizu Yousuke, Inoue Takahiro, Okubo Kazutoshi, Yoshimura Koji, Kanematsu Akihiro, Nishiyama Hiroyuki, Ogawa Osamu
The Department of Urology, Kyoto University Graduate School of Medicine.
Hinyokika Kiyo. 2012 Aug;58(8):421-4.
A 49-year-old man presented with elevated serum creatinine. He had histories of pancreatic pseudocyst caused by alcoholic pancreatitis and right nephrectomy due to renal cell carcinoma. Computed tomographic scan demonstrated that a subcapsular renal cyst appeared adjacent to the pancreatic pseudocyst and compressed the parenchyma of the left kidney. Since the renal subcapsular cyst was suspected to directly communicate with the pancreatic pseudocyst, endoscopic ultrasound-guided transgastric drainage of pancreatic pseudocyst was performed. After the intervention, the renal subcapsular cyst disappeared without formation of a pancreatic fistula and renal dysfunction was promptly improved. He remains free of relapse for more than 1 year.
一名49岁男性因血清肌酐升高就诊。他有酒精性胰腺炎所致胰腺假性囊肿病史以及因肾细胞癌行右肾切除术史。计算机断层扫描显示，一个肾包膜下囊肿出现在胰腺假性囊肿附近，并压迫左肾实质。由于怀疑肾包膜下囊肿与胰腺假性囊肿直接相通，遂行内镜超声引导下经胃胰腺假性囊肿引流术。干预后，肾包膜下囊肿消失，未形成胰瘘，肾功能迅速改善。他至今已超过1年未复发。
