A case of walled‐off necrosis extending into the pelvic cavity successfully treated by endoscopic necrosectomy using a lumen‐apposing metal stent

A 31‐year‐old man developed massive walled‐off necrosis extending into the pelvic cavity following severe acute alcoholic pancreatitis. Endoscopic ultrasound‐guided fistula drainage was performed using a lumen‐apposing metal stent, but this was insufficiently effective, and endoscopic necrosectomy w...

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Bibliographic Details
Published in:DEN open 2022-04, Vol.2 (1), p.n/a
Main Authors: Morita, Makoto, Yokota, Tomoyuki, Yano, Ryo, Amano, Michiko, Ochi, Hironori, Azemoto, Nobuaki, Mashiba, Toshie, Joko, Kouji
Format: Article
Language:English
Subjects:
Abdomen
acute pancreatitis
Blood tests
Case Report
Case Reports
Catheters
Conflicts of interest
Dehydrogenases
endoscopic necrosectomy
endoscopic ultrasound‐guided pancreatic cyst drainage
Endoscopy
Ethics
Fistula
lumen‐apposing metal stent
Pancreatitis
Proteins
Stents
Ultrasonic imaging
walled‐off necrosis
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Summary:A 31‐year‐old man developed massive walled‐off necrosis extending into the pelvic cavity following severe acute alcoholic pancreatitis. Endoscopic ultrasound‐guided fistula drainage was performed using a lumen‐apposing metal stent, but this was insufficiently effective, and endoscopic necrosectomy was also performed, after which the patient improved. Percutaneous drainage and surgery are other options for the treatment of walled‐off necrosis extending into the pelvic cavity, but a valuable case in which the patient improved with endoscopic treatment alone is presented.
ISSN:2692-4609
2692-4609
DOI:10.1002/deo2.120