Takayanagi Takuya, Sekino Yusuke, Ishii Ken, Sato Shinji, Umemura Ryusuke, Uchiyama Shiori, Kanazawa Noriyoshi, Kawana Kenichi, Nagase Hajime
Department of Gastroenterology, Yokohama Rosai Hospital.
Department of Gastroenterology, NTT Medical Center Tokyo.
Nihon Shokakibyo Gakkai Zasshi. 2018;115(2):219-227. doi: 10.11405/nisshoshi.115.219.
A 53-year-old man was admitted to our hospital with the complaint of neck pain and dyspnea. His blood examination revealed increased C-reactive protein and amylase levels. Enhanced computed tomography (CT) images demonstrated a retropharyngeal and a mediastinal low-density area extending to the portal area. He was diagnosed with pancreatic pseudocyst from the abdominal cavity to the cervical region accompanied by spontaneous rupture into the portal vein. Endoscopic ultrasound-guided cyst drainage (EUS-CD) of the most inferior cavity around the superior mesenteric artery was performed through the gastric wall. No adverse events were recorded during the procedure, and a near-complete resolution of his symptoms and the pseudocyst was achieved.
一名53岁男性因颈部疼痛和呼吸困难入院。血液检查显示C反应蛋白和淀粉酶水平升高。增强计算机断层扫描（CT）图像显示咽后和纵隔低密度区延伸至门静脉区域。他被诊断为腹腔至颈部的胰腺假性囊肿，并伴有自发性破裂进入门静脉。通过胃壁对肠系膜上动脉周围最下方的囊肿进行了内镜超声引导下囊肿引流（EUS-CD）。手术过程中未记录到不良事件，患者症状和假性囊肿几乎完全消退。
