Okuno Mitsuru, Iwata Keisuke, Mukai Tsuyoshi, Shimojo Kota, Ito Yuki, Takagi Akihiro, Iwata Shota, Tezuka Ryuichi, Iwasa Yuhei, Tomita Eiichi
Department of Gastroenterology, Gifu Municipal Hospital.
Nihon Shokakibyo Gakkai Zasshi. 2022;119(5):466-475. doi: 10.11405/nisshoshi.119.466.
After an abdominal injury, a woman in her 20s presented to our hospital with abdominal pain. Pancreatic trauma was discovered on computed tomography, along with a pancreatic duct injury and pancreatic juice leakage. Endoscopic retrograde pancreatography revealed a 10-mm rupture of the pancreatic body's main pancreatic duct (MPD) and intraperitoneal leakage of contrast enzyme from the MPD. The pancreatic injury was treated with the placement of a 5-Fr endoscopic nasopancreatic drainage tube in the ruptured distal side of the pancreatic duct;however, 3 months later, the MPD stenosis occurred. The MPD stenosis was improved using a 7-Fr pancreatic stent, and finally, placement of the pancreatic stent was not required for MPD drainage.
一名20多岁的女性在腹部受伤后因腹痛前来我院就诊。计算机断层扫描发现胰腺创伤，同时伴有胰管损伤和胰液渗漏。内镜逆行胰胆管造影显示胰体主胰管（MPD）有10毫米的破裂，且造影剂酶从MPD发生腹膜内渗漏。通过在胰管破裂远端放置一根5Fr的内镜鼻胰引流管对胰腺损伤进行治疗；然而，3个月后，发生了MPD狭窄。使用一根7Fr的胰腺支架改善了MPD狭窄，最终，MPD引流不再需要放置胰腺支架。
