Anaya Meza Silvia Fernanda, De León Murillo Andrés David, Bedoya Rinaldi Alejandro Alfonso, Cerra Ortegon David Raul, Pérez García Tatiana Paola, Plaza Ricardo Pedro Antonio
General Practice, Universidad Libre, Barranquilla, COL.
General Surgery, Universidad Libre, Barranquilla, COL.
Cureus. 2025 Jun 24;17(6):e86650. doi: 10.7759/cureus.86650. eCollection 2025 Jun.
We present the case of a 66-year-old female patient who was hospitalized six months earlier for acute biliary pancreatitis. She presented to the emergency department with a 15-day history of symptoms, which included fever, abdominal pain, and a palpable mass in the mesogastric region. An abdominal computed tomography (CT) scan revealed a peripancreatic fluid collection involving the pancreatic body and head, suggestive of a complication related to the prior episode of acute pancreatitis. The patient was referred to the gastroenterology service, where a decision was made to pursue an uncommon therapeutic approach. Endoscopic ultrasound (EUS)-guided pancreatic drainage was performed using a lumen-apposing metal stent (LAMS) (Hot Axios, Boston Scientific, Marlborough, MA), followed by scheduled outpatient necrosectomies. A total of three necrosectomies were carried out through the stent, which was subsequently removed one month after its placement. The patient demonstrated a favorable clinical course, with resolution of symptoms and no reported complications.
我们报告一例66岁女性患者，她六个月前因急性胆源性胰腺炎住院。她因出现症状15天前来急诊科就诊，症状包括发热、腹痛以及上腹部可触及肿块。腹部计算机断层扫描（CT）显示胰周有液体聚集，累及胰体和胰头，提示与先前急性胰腺炎发作相关的并发症。该患者被转诊至胃肠病科，在那里决定采用一种不常见的治疗方法。使用管腔对接金属支架（LAMS）（Hot Axios，波士顿科学公司，马尔伯勒，马萨诸塞州）进行内镜超声（EUS）引导下的胰腺引流，随后安排门诊坏死组织清除术。通过支架总共进行了三次坏死组织清除术，支架在放置后一个月取出。患者临床病程良好，症状消失，未报告有并发症。
