A case of endoscopic retrograde cholangiopancreatography-related main pancreatic duct perforation salvaged by endoscopic ultrasonography-guided pancreatic duct drainage

Ryosuke Sato; Kazuyuki Matsumoto; Akihiro Matsumi; Kosaku Morimoto; Hiroyuki Terasawa; Yuki Fujii; Tatsuhiro Yamazaki; Koichiro Tsutsumi; Shigeru Horiguchi; Hironari Kato

doi:10.1007/s12328-022-01699-1

A case of endoscopic retrograde cholangiopancreatography-related main pancreatic duct perforation salvaged by endoscopic ultrasonography-guided pancreatic duct drainage

Ryosuke Sato, Kazuyuki Matsumoto, Akihiro Matsumi, Kosaku Morimoto, Hiroyuki Terasawa, Yuki Fujii, Tatsuhiro Yamazaki, Koichiro Tsutsumi, Shigeru Horiguchi, Hironari Kato

Research output: Contribution to journal › Article › peer-review

Abstract

We herein report a 78-year-old man who underwent endoscopic retrograde cholangiopancreatography (ERCP) to examine main pancreatic duct (MPD) stenosis. During ERCP, MPD perforation occurred due to the cytology brush maneuver. Endoscopic pancreatic stenting to bridge the perforated site failed because the MPD was bent and formed a loop. Thus, we placed the stent at the proximal perforated side. The patient developed retroperitoneal perforation and pancreatic fistula with infection, showing a worsening condition. Pancreatic duct drainage was not effective, so we performed endoscopic ultrasonography-guided pancreatic duct drainage. Subsequently, he gradually improved and was discharged 3 months after initial ERCP.

Original language	English
Journal	Clinical Journal of Gastroenterology
DOIs	https://doi.org/10.1007/s12328-022-01699-1
Publication status	Accepted/In press - 2022

Keywords

ERCP-related perforation
EUS-guided pancreatic duct drainage
Pancreatic duct perforation

ASJC Scopus subject areas

Gastroenterology

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10.1007/s12328-022-01699-1

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Sato, R., Matsumoto, K., Matsumi, A., Morimoto, K., Terasawa, H., Fujii, Y., Yamazaki, T., Tsutsumi, K., Horiguchi, S., & Kato, H. (Accepted/In press). A case of endoscopic retrograde cholangiopancreatography-related main pancreatic duct perforation salvaged by endoscopic ultrasonography-guided pancreatic duct drainage. Clinical Journal of Gastroenterology. https://doi.org/10.1007/s12328-022-01699-1

Sato, R, Matsumoto, K, Matsumi, A, Morimoto, K, Terasawa, H, Fujii, Y, Yamazaki, T , Tsutsumi, K , Horiguchi, S & Kato, H 2022, 'A case of endoscopic retrograde cholangiopancreatography-related main pancreatic duct perforation salvaged by endoscopic ultrasonography-guided pancreatic duct drainage', Clinical Journal of Gastroenterology. https://doi.org/10.1007/s12328-022-01699-1

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title = "A case of endoscopic retrograde cholangiopancreatography-related main pancreatic duct perforation salvaged by endoscopic ultrasonography-guided pancreatic duct drainage",

abstract = "We herein report a 78-year-old man who underwent endoscopic retrograde cholangiopancreatography (ERCP) to examine main pancreatic duct (MPD) stenosis. During ERCP, MPD perforation occurred due to the cytology brush maneuver. Endoscopic pancreatic stenting to bridge the perforated site failed because the MPD was bent and formed a loop. Thus, we placed the stent at the proximal perforated side. The patient developed retroperitoneal perforation and pancreatic fistula with infection, showing a worsening condition. Pancreatic duct drainage was not effective, so we performed endoscopic ultrasonography-guided pancreatic duct drainage. Subsequently, he gradually improved and was discharged 3 months after initial ERCP.",

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author = "Ryosuke Sato and Kazuyuki Matsumoto and Akihiro Matsumi and Kosaku Morimoto and Hiroyuki Terasawa and Yuki Fujii and Tatsuhiro Yamazaki and Koichiro Tsutsumi and Shigeru Horiguchi and Hironari Kato",

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AU - Sato, Ryosuke

AU - Matsumoto, Kazuyuki

AU - Matsumi, Akihiro

AU - Morimoto, Kosaku

AU - Terasawa, Hiroyuki

AU - Fujii, Yuki

AU - Yamazaki, Tatsuhiro

AU - Tsutsumi, Koichiro

AU - Horiguchi, Shigeru

AU - Kato, Hironari

PY - 2022

Y1 - 2022

N2 - We herein report a 78-year-old man who underwent endoscopic retrograde cholangiopancreatography (ERCP) to examine main pancreatic duct (MPD) stenosis. During ERCP, MPD perforation occurred due to the cytology brush maneuver. Endoscopic pancreatic stenting to bridge the perforated site failed because the MPD was bent and formed a loop. Thus, we placed the stent at the proximal perforated side. The patient developed retroperitoneal perforation and pancreatic fistula with infection, showing a worsening condition. Pancreatic duct drainage was not effective, so we performed endoscopic ultrasonography-guided pancreatic duct drainage. Subsequently, he gradually improved and was discharged 3 months after initial ERCP.

AB - We herein report a 78-year-old man who underwent endoscopic retrograde cholangiopancreatography (ERCP) to examine main pancreatic duct (MPD) stenosis. During ERCP, MPD perforation occurred due to the cytology brush maneuver. Endoscopic pancreatic stenting to bridge the perforated site failed because the MPD was bent and formed a loop. Thus, we placed the stent at the proximal perforated side. The patient developed retroperitoneal perforation and pancreatic fistula with infection, showing a worsening condition. Pancreatic duct drainage was not effective, so we performed endoscopic ultrasonography-guided pancreatic duct drainage. Subsequently, he gradually improved and was discharged 3 months after initial ERCP.

KW - ERCP-related perforation

KW - EUS-guided pancreatic duct drainage

KW - Pancreatic duct perforation

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A case of endoscopic retrograde cholangiopancreatography-related main pancreatic duct perforation salvaged by endoscopic ultrasonography-guided pancreatic duct drainage

Abstract

Keywords

ASJC Scopus subject areas

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