• Internal medicine · Nov 2024

    Case Reports

    Pancreatic Pseudocyst after Fully Covered Self-expandable Metallic Stent Placement: A Case Report.

    • Mitsuhito Koizumi, Sho Ishikawa, Kaori Marui, Masahito Kokubu, Yusuke Okujima, Yuki Numata, Yoshiki Imamura, Teru Kumagi, and Yoichi Hiasa.
    • Gastroenterology and Metabology, Ehime University Graduate School of Medicine, Japan.
    • Intern. Med. 2024 Nov 1; 63 (21): 294329472943-2947.

    AbstractA 70-year-old woman presented with stage III pancreatic head cancer. After endoscopic sphincterotomy, a fully covered self-expandable metallic stent (FCSEMS) was placed in the common bile duct to manage jaundice. The patient developed a fever and abdominal pain 40 days after stent placement, with a suspected diagnosis of infected pancreatic pseudocyst. Purulent discharge from the papilla was observed during FCSEMS removal, and pancreatography revealed a pseudocyst connected to the main pancreatic duct. The pancreatic pseudocyst resolved after transpapillary drainage. Pancreatic pseudocysts should be suspected after biliary FCSEMS placement, and prompt removal and endoscopic drainage of the FCSEMS should be considered.

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