Ghafouri-Asbagh Amirhosein, Mohammadi Yushanluee Zahra, Khameneh Bagheri Arash, Malekshoar Mehran, Bafandeh Tiz Payam, Jalili Javad
Cardiovascular Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
Department of Radiology, Imam Reza Teaching Hospital, Tabriz University of Medical Sciences, Tabriz, Iran.
Caspian J Intern Med. 2024 Oct 27;16(1):174-177. doi: 10.22088/cjim.16.1.174. eCollection 2025 Winter.
Percutaneous Trans hepatic biliary drainage (PTBD) is a successful palliative treatment for malignant obstructive jaundice. Despite the past that PTBD complications occur more frequently. Currently, with the help of an ultrasound guide, these side effects and possibility of adjacent organ damages have decreased interestingly. One of the rare complications of this procedure is acute pancreatitis.
We discuss an uncommon case of acute pancreatitis following PTBD in an elderly woman who presented to the hospital with jaundice and anorexia. Conservative therapy without decatheterization was the treatment of choice in our patient. Eventually after receiving conservative therapy for her pancreatitis, she was discharged from the hospital in good general condition and she has not experienced any episodes of abdominal pain again.
Acute pancreatitis is one of the causes of sepsis during PTBD catheterization. Early management of this complication after PTBD can decrease morbidity and mortality of the patients.
经皮经肝胆道引流术（PTBD）是治疗恶性梗阻性黄疸的一种成功的姑息治疗方法。尽管过去PTBD并发症更频繁地发生。目前，在超声引导的帮助下，这些副作用以及邻近器官损伤的可能性已显著降低。该手术罕见的并发症之一是急性胰腺炎。
我们讨论了一名老年女性在PTBD术后发生急性胰腺炎的罕见病例，该患者因黄疸和厌食入院。在我们的患者中，不拔除导管的保守治疗是首选治疗方法。最终，在接受胰腺炎保守治疗后，她以良好的总体状况出院，并且再也没有经历过腹痛发作。
急性胰腺炎是PTBD置管期间脓毒症的病因之一。PTBD术后对该并发症的早期处理可降低患者的发病率和死亡率。
