Delayed pancreatic fistula after pancreaticoduodenectomy. A case report

Yasuhiro Ito, Tomoyuki Irino, Tomohisa Egawa, Shinobu Hayashi, Atsushi Nagashima

研究成果: Article査読

2 被引用数 (Scopus)

抄録

Context Pancreatic fistulas still occur despite refinements in both surgical technique and perioperative management after a pancreaticoduodenectomy. However, the occurrence of delayed pancreatic fistulas is very rare. Case report A 62-year-old woman diagnosed with a lower biliary carcinoma had undergone a pylorus-preserving pancreaticoduodenectomy. The postoperative course was uneventful and the patient was discharged from the hospital after 16 days. One year after surgery, she was admitted to our hospital with a fluid collection around the pancreaticojejunal anastomosis. A catheter was inserted percutaneously and the fluid collection was drained. The amylase value of the discharge was significantly elevated (119,500 IU/L). One week later, a fistulography showed no significant collection and the tube was clamped. The patient was discharged from the hospital without symptoms. Conclusions It is important to consider the occurrence of a delayed pancreatic fistula if the patient suffers from any symptoms. It is then necessary to proceed rapidly.

本文言語English
ページ(範囲)410-412
ページ数3
ジャーナルJournal of the Pancreas
12
4
出版ステータスPublished - 2011 7 1
外部発表はい

ASJC Scopus subject areas

  • 内分泌学、糖尿病および代謝内科学
  • 肝臓学
  • 内分泌学

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