Sakata Kazuya, Hashimoto Daisuke, Taki Katsunobu, Nakahara Osamu, Ohmuraya Masaki, Chikamoto Akira, Beppu Toru, Baba Hideo
Department of Gastroenterological Surgery, Kumamoto University Graduate School of Medical Sciences, 1-1-1 Honjo, Kumamoto, 860-8556 Japan.
Department of Surgery, Taragi Municipal Hospital, 4210 Taragi, Kumamoto, 868-0598 Japan.
Surg Case Rep. 2015;1(1):54. doi: 10.1186/s40792-015-0057-x. Epub 2015 Jun 26.
Pancreatic pseudocyst is usually treated by percutaneous external drainage, endoscopic internal or external drainage, or surgical internal drainage such as cystogastrostomy. Surgical external drainage is an option if these procedures fail. We describe a case of a 70-year-old man with a pancreatic body pseudocyst that developed postoperatively. It was improved by endoscopic external drainage, and the stent was changed to an internal stent. However, surgery was required as the pseudocyst grew again. A direct approach to the pseudocyst was not possible because of severe adhesion. A distal pancreatectomy with pancreaticojejunostomy was performed, and an external pancreatic stent tube was inserted from the cut end into the duodenum to drain the pseudocyst. One month later, the pseudocyst disappeared, and the stent was removed.
胰腺假性囊肿通常采用经皮外引流、内镜内引流或外引流，或诸如囊肿胃吻合术等外科内引流进行治疗。如果这些方法失败，外科外引流是一种选择。我们描述了一例70岁男性患者，其胰体假性囊肿为术后发生。通过内镜外引流病情得到改善，随后将支架更换为内支架。然而，由于假性囊肿再次增大，需要进行手术。由于严重粘连，无法直接处理假性囊肿。遂行远端胰腺切除术加胰空肠吻合术，并从切除端向十二指肠插入一根胰腺外支架管以引流假性囊肿。1个月后，假性囊肿消失，支架被取出。
