Ann Ital Chir. 2023 Sep 8;94:S2239253X23039567.
Pancreaticoduodenectomy is a major surgical procedure associated with various and important complications, often difficult to be managed. Pancreatic fistula is due to leakage of pancreatic juice in the abdominal cavity and is the main and most frequent complication after pancreatic surgery. The treatment of pancreatic fistula may change according to degree. Interventional radiology (IR) can offer powerful minimally invasive alternatives in managing pancreatic fistulas. We report the case of a patient affected by ampullar adenocarcinoma who underwent pancreaticoduodenectomy. Surgery was complicated by high-flow pancreatic fistula treated conservatively with CT guided percutaneous transhepatic drainage. Due to persistent leak of pancreatic fluid the abdominal effusion was drained percutaneously in the jejunal loop by Interventional radiology. KEY WORDS: Pancreatic fistula, Jejunal loop internal drainage, Radiological treatment.
胰十二指肠切除术是一种与各种重要并发症相关的主要手术，这些并发症常常难以处理。胰瘘是由于胰液在腹腔内漏出，是胰腺手术后的主要和最常见的并发症。胰瘘的治疗可能会根据严重程度而有所改变。介入放射学（IR）可以为胰瘘的管理提供强大的微创替代方案。我们报告了一位患有壶腹腺癌的患者的病例，他接受了胰十二指肠切除术。手术过程中出现了高流量胰瘘，采用 CT 引导下经皮经肝引流进行保守治疗。由于胰液持续漏出，通过介入放射学在空肠袢内进行了经皮引流以排出腹腔积液。关键词：胰瘘；空肠袢内引流；放射治疗。
