Publication/Presentation Date
1-9-2018
Abstract
Pancreatic pseudocysts and walled-off pancreatic necrosis arise as a complication of pancreatitis. Multiple fluid collections are seen in 5-20% of the patients who have walled-off peripancreatic fluid collections. There is a paucity of data regarding the role of endoscopic transmural drainage in the management of multiple pancreatic fluid collections. In this case report, we present the case of a 72-year-old male with three walled-off pancreatic fluid collections in the setting of acute necrotizing pancreatitis. The patient underwent simultaneous endoscopic ultrasound-assisted cyst gastrostomy and cyst duodenostomy and aggressive irrigation without index endoscopic necrosectomy of the three peripancreatic fluid collections. Significant improvement in the size of the fluid collections was seen on the computed tomography scan, as well as a remarkable immediate clinical improvement after 24 hours of the endoscopic intervention.
Volume
10
Issue
1
First Page
2047
Last Page
2047
ISSN
2168-8184
Published In/Presented At
Khalid, S., Abbass, A., Nellis, E., Shah, S., & Shah, H. (2018). Triple Pancreatic Walled-off Fluid Collections Treated Simultaneously with Endoscopic Transmural Drainage. Cureus, 10(1), e2047. https://doi.org/10.7759/cureus.2047
Disciplines
Gastroenterology
PubMedID
29541568
Department(s)
Department of Medicine
Document Type
Article