Pancreatic perforation caused by the Soehendra® retrieval device in a patient with chronic pancreatitis

Gastrointestinal Intervention Pub Date : 2017-10-30 DOI:10.18528/GII170014

S. Shin, S. Jang, Joon Seong Park, D. Lee

引用次数: 1

Abstract

Summary of Event: An endoscopic retrograde pancreatic duct (ERPD) stent was inserted in a male patient with chronic pancreatitis via endoscopic retrograde cholangiopancreatography (ERCP) to relieve chronic epigastric pain. After the procedure, an abdominal computed tomography scan showed localized peritonitis with a dislocated ERPD stent. The patient underwent an emergency operation, which revealed that the peritonitis was caused by perforation of the pancreatic parenchyma by the ERPD stent. Teaching Point: A hydrophilic guide wire can puncture the pancreas during ERPD stent insertion. Therefore, it is necessary to ensure that the guide wire reaches the main pancreatic duct, especially in patients with chronic pancreatitis. Copyright © 2017, Society of Gastrointestinal Intervention. All rights reserved.

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慢性胰腺炎患者的Soehendra®回收装置引起的胰腺穿孔

事件摘要：通过内镜逆行胰胆管造影术（ERCP）在一名患有慢性胰腺炎的男性患者体内插入内镜逆行胰管（ERPD）支架，以缓解慢性上腹部疼痛。手术后，腹部计算机断层扫描显示局部腹膜炎，ERPD支架错位。患者接受了紧急手术，结果显示腹膜炎是由ERPD支架刺穿胰腺实质引起的。教学要点：在ERPD支架置入过程中，亲水性导丝可以刺穿胰腺。因此，有必要确保导丝到达主胰管，尤其是慢性胰腺炎患者。版权所有©2017，胃肠道干预学会。保留所有权利。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Gastrointestinal Intervention

自引率

0.00%

发文量

审稿时长

24 weeks

期刊介绍： IJGII (pISSN 2636-0004, eISSN 2636-0012) was published four times a year on the last day of January, April, July, and October, which has effected from January 1 in 2019. This Journal was first published biannually on June and December, beginning in December 2012 under the title ‘Gastrointestinal Intervention’ (former pISSN 2213-1795, eISSN 2213-1809) and was changed to be published three times a year from 2016. Commencing with the January 2019 issue, the Journal was renamed ‘International Journal of Gastrointestinal Intervention’. As the official journal of the Society of Gastrointestinal Intervention (SGI), International Journal of Gastrointestinal Intervention (IJGII) delivers original, peer-reviewed articles for gastroenterologists, interventional radiologists, surgeons, gastrointestinal oncologists, nurses and technicians who need current and reliable information on the interventional treatment of gastrointestinal and hepatopancreaticobiliary diseases. Regular features also include ‘state-of-the-art’ review articles by leading authorities throughout the world. IJGII will become an international forum for the description and discussion of the various aspects of interventional radiology, endoscopy and minimally invasive surgery.