Successful Treatment of Bilocular Walled-off Necrosis with Transmural Naso-cyst Continuous Irrigation: A Case Report

Recently, transmural naso-cyst continuous irrigation (TNCCI) has been reported as an effective and safe treatment for walled-off necrosis (WON). We herein report a case of bilocular WON that was successfully treated with TNCCI. The patient was a 60-year-old man. The patient underwent endoscopic ultr...

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Bibliographic Details
Published in:Internal Medicine 2024, pp.3770-24
Main Authors: Matsuyama, Mari, Matsuzawa, Hisanori, Kimura, Kazuya, Izumiya, Yuki, Sugawara, Kae, Tsuda, Satoko, Tuji, Tsuyotoshi, Nakane, Kunio, Komatsu, Masafumi, Iijima, Katsunori
Format: Article
Language:English
Subjects:
Lumen apposing metal stent (LAMS)
Transmural naso-cyst continuous irrigation (TNCCI)
Walled-off necrosis (WON)
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Summary:Recently, transmural naso-cyst continuous irrigation (TNCCI) has been reported as an effective and safe treatment for walled-off necrosis (WON). We herein report a case of bilocular WON that was successfully treated with TNCCI. The patient was a 60-year-old man. The patient underwent endoscopic ultrasound-guided cyst drainage of the main cavity and subcavity using a single transluminal gateway transcystic multiple drainage technique, which was ineffective. Subsequently, a lumen-apposing metal stent (LAMS) was placed in the main cavity and TNCCI was successfully performed in the subcavity. TNCCI with LAMS was effective in treating bilocular WON.
ISSN:0918-2918
1349-7235
DOI:10.2169/internalmedicine.3770-24