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The combination of endoscopic sphincterotomy and percutaneous abscess drainage in the management of complicated biliary pancreatitis.
- Source :
-
Canadian Association of Radiologists journal = Journal l'Association canadienne des radiologistes [Can Assoc Radiol J] 1986 Dec; Vol. 37 (4), pp. 238-42. - Publication Year :
- 1986
-
Abstract
- We report four patients with a protracted history of acute pancreatitis complicated by infected pseudocysts or abscesses. Ultrasonography showed that each patient had cholelithiasis. Endoscopic biliary sphincterotomy was performed resulting in the release of stones, gravel, or pus in all four cases. Three of the patients had successful percutaneous abscess drainage, and one patient was drained surgically. The abscesses all resolved, but one patient died suddenly of acute pulmonary embolism. The other three patients are well. We recommend this combined approach to pancreatic abscess drainage because, if there is obstruction to the flow of pancreatic juice at the ampulla of Vater, it is likely that the pancreatitis and abscess will fail to resolve.
- Subjects :
- Abscess complications
Acute Disease
Adult
Aged
Bile Ducts surgery
Cholelithiasis complications
Cholelithiasis diagnosis
Endoscopy methods
Female
Humans
Male
Middle Aged
Pancreatic Pseudocyst complications
Pancreatitis complications
Tomography, X-Ray Computed
Ultrasonography
Abscess surgery
Ampulla of Vater surgery
Cholelithiasis surgery
Drainage methods
Pancreatic Cyst surgery
Pancreatic Pseudocyst surgery
Pancreatitis surgery
Subjects
Details
- Language :
- English
- ISSN :
- 0846-5371
- Volume :
- 37
- Issue :
- 4
- Database :
- MEDLINE
- Journal :
- Canadian Association of Radiologists journal = Journal l'Association canadienne des radiologistes
- Publication Type :
- Academic Journal
- Accession number :
- 2950106