A case of pancreatic pleural effusion demonstrated on MRCP and successfully treated with endoscopic pancreaticdrainage

  • NAKAYAMA Shinji
    The third Department of Internal Medicine, Kansai Medical University
  • KUBOTA Yoshitugu
    The third Department of Internal Medicine, Kansai Medical University
  • YAMAMOTO Shin
    The third Department of Internal Medicine, Kansai Medical University
  • IMAI Yoshihito
    The third Department of Internal Medicine, Kansai Medical University
  • TAHASHI Yoshiya
    The third Department of Internal Medicine, Kansai Medical University
  • HURUKAWA Hukiko
    The third Department of Internal Medicine, Kansai Medical University
  • KAWAMURA Rinako
    The third Department of Internal Medicine, Kansai Medical University
  • OKAZAKI Kazuichi
    The third Department of Internal Medicine, Kansai Medical University

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  • MRCPが診断に有用で,内視鏡的膵管ドレナージにより治癒し得た膵性胸水の1例

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Abstract

症例は48歳の女性.慢性膵炎にて経過観察中に左側胸水精査目的で入院した.MRCPで膵尾部に径1 cmの嚢胞を認め,左胸腔に連続する液体貯留(瘻孔)が描出された.ERCPで膵尾部の嚢胞から左胸腔への造影剤の漏出を確認した.経鼻膵管ドレナージ2週間,膵管ステント留置18週間の計20週間の内視鏡的膵管ドレナージにより治癒した.MRCPによる術前情報が,内視鏡的膵管ドレナージカテーテルの留置部位の決定やチューブ径の選択に有用であった.また,経乳頭的ドレナージ術は膵液瘻の有効な治療法であると考えられた.<br>

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