Gastroenterology, Hospital Professor Doutor Fernando Fonseca, Portugal.
Gastroenterology, Hospital Professor Doutor Fernando Fonseca.
Rev Esp Enferm Dig. 2020 Jul;112(7):571-572. doi: 10.17235/reed.2020.6650/2019.
We report the case of a 61-year-old male patient with a history of acute necrotizing biliary pancreatitis and a disconnected duct syndrome. He underwent transgastric drainage using a luminal apposing metal stent and transgastric necrosectomy with complete resolution of the necrosis. A pancreatic fistula was identified during pancreatography and a pancreatic plastic stent was placed in order to manage the disconnected duct syndrome. The tip of the pancreatic stent could be seen inside the pancreatic collection, which is an unusual finding. There was a resolution of the collection and the pancreatic stent was removed.
我们报告了一例 61 岁男性患者的病例，该患者患有急性坏死性胆源性胰腺炎和胆胰管分离综合征。他接受了经胃腔内置入金属支架引流和经胃腔坏死组织清除术治疗，坏死组织完全清除。在胰管造影时发现胰瘘，并放置了塑料胰管支架以处理胆胰管分离综合征。可以看到胰管支架的尖端位于胰腺积液内，这是一种不常见的发现。胰腺积液得到解决，随后取出了胰管支架。
