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Inflammatory Bile Duct Obstruction during the Healing Stage of Severe Acute Pancreatitis
The patient was a 62-year-old woman with a history of severe acute pancreatitis complicated by walled-off necrosis (WON), who developed obstructive jaundice during the recovery phase from WON. Magnetic resonance cholangiopancreatography (MRCP) and endoscopic retrograde cholangiopancreatography (ERCP...
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| Published in: | Internal Medicine 2017/05/01, Vol.56(9), pp.1037-1040 |
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| container_end_page | 1040 |
| container_issue | 9 |
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| container_title | Internal Medicine |
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| creator | Yamabe, Akane Irisawa, Atsushi Shibukawa, Goro Sato, Ai Fujisawa, Mariko Arakawa, Noriyuki Yoshida, Yoshitsugu Igarashi, Ryo Maki, Takumi Yamamoto, Shogo Ikeda, Tsunehiko Abe, Yoko Hoshi, Koki |
| description | The patient was a 62-year-old woman with a history of severe acute pancreatitis complicated by walled-off necrosis (WON), who developed obstructive jaundice during the recovery phase from WON. Magnetic resonance cholangiopancreatography (MRCP) and endoscopic retrograde cholangiopancreatography (ERCP) revealed the complete obstruction of the distal bile duct, and endoscopic ultrasonography (EUS) revealed thickening of the duct wall, with a uniform distribution, and a relatively well-preserved layered structure. A cytopathological examination using ERCP showed no malignancy. The underlying etiology of this case may have been the formation of a cicatricial stricture during the resolution of WON, in addition to fibrosis caused by the spreading of inflammation from pancreatitis. |
| doi_str_mv | 10.2169/internalmedicine.56.7859 |
| format | article |
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Magnetic resonance cholangiopancreatography (MRCP) and endoscopic retrograde cholangiopancreatography (ERCP) revealed the complete obstruction of the distal bile duct, and endoscopic ultrasonography (EUS) revealed thickening of the duct wall, with a uniform distribution, and a relatively well-preserved layered structure. A cytopathological examination using ERCP showed no malignancy. The underlying etiology of this case may have been the formation of a cicatricial stricture during the resolution of WON, in addition to fibrosis caused by the spreading of inflammation from pancreatitis.</description><identifier>ISSN: 0918-2918</identifier><identifier>EISSN: 1349-7235</identifier><identifier>DOI: 10.2169/internalmedicine.56.7859</identifier><identifier>PMID: 28458308</identifier><language>eng</language><publisher>Japan: The Japanese Society of Internal Medicine</publisher><subject>acute pancreatitis ; Bile ; bile duct obstruction ; Bile ducts ; Case Report ; Cholangiopancreatography, Endoscopic Retrograde ; Cholangiopancreatography, Magnetic Resonance ; Cholestasis - diagnostic imaging ; Cholestasis - etiology ; Cholestasis - pathology ; Endoscopy ; Endosonography ; Etiology ; Female ; Fibrosis ; Humans ; Inflammation ; Internal medicine ; Jaundice ; Jaundice, Obstructive - etiology ; Malignancy ; Middle Aged ; Pancreatitis ; Pancreatitis - complications ; Pancreatitis - diagnostic imaging ; Pancreatitis - surgery ; Stricture ; Treatment Outcome ; Ultrasound ; walled-off necrosis</subject><ispartof>Internal Medicine, 2017/05/01, Vol.56(9), pp.1037-1040</ispartof><rights>2017 by The Japanese Society of Internal Medicine</rights><rights>Copyright Japan Science and Technology Agency 2017</rights><rights>Copyright © 2017 by The Japanese Society of Internal Medicine 2017</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c666t-a3425b278b797307fdfdac08d7dca8b1d51a9b3ad5979b612d01d385c7d77d693</citedby><cites>FETCH-LOGICAL-c666t-a3425b278b797307fdfdac08d7dca8b1d51a9b3ad5979b612d01d385c7d77d693</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5478563/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5478563/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28458308$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yamabe, Akane</creatorcontrib><creatorcontrib>Irisawa, Atsushi</creatorcontrib><creatorcontrib>Shibukawa, Goro</creatorcontrib><creatorcontrib>Sato, Ai</creatorcontrib><creatorcontrib>Fujisawa, Mariko</creatorcontrib><creatorcontrib>Arakawa, Noriyuki</creatorcontrib><creatorcontrib>Yoshida, Yoshitsugu</creatorcontrib><creatorcontrib>Igarashi, Ryo</creatorcontrib><creatorcontrib>Maki, Takumi</creatorcontrib><creatorcontrib>Yamamoto, Shogo</creatorcontrib><creatorcontrib>Ikeda, Tsunehiko</creatorcontrib><creatorcontrib>Abe, Yoko</creatorcontrib><creatorcontrib>Hoshi, Koki</creatorcontrib><title>Inflammatory Bile Duct Obstruction during the Healing Stage of Severe Acute Pancreatitis</title><title>Internal Medicine</title><addtitle>Intern. Med.</addtitle><description>The patient was a 62-year-old woman with a history of severe acute pancreatitis complicated by walled-off necrosis (WON), who developed obstructive jaundice during the recovery phase from WON. Magnetic resonance cholangiopancreatography (MRCP) and endoscopic retrograde cholangiopancreatography (ERCP) revealed the complete obstruction of the distal bile duct, and endoscopic ultrasonography (EUS) revealed thickening of the duct wall, with a uniform distribution, and a relatively well-preserved layered structure. A cytopathological examination using ERCP showed no malignancy. The underlying etiology of this case may have been the formation of a cicatricial stricture during the resolution of WON, in addition to fibrosis caused by the spreading of inflammation from pancreatitis.</description><subject>acute pancreatitis</subject><subject>Bile</subject><subject>bile duct obstruction</subject><subject>Bile ducts</subject><subject>Case Report</subject><subject>Cholangiopancreatography, Endoscopic Retrograde</subject><subject>Cholangiopancreatography, Magnetic Resonance</subject><subject>Cholestasis - diagnostic imaging</subject><subject>Cholestasis - etiology</subject><subject>Cholestasis - pathology</subject><subject>Endoscopy</subject><subject>Endosonography</subject><subject>Etiology</subject><subject>Female</subject><subject>Fibrosis</subject><subject>Humans</subject><subject>Inflammation</subject><subject>Internal medicine</subject><subject>Jaundice</subject><subject>Jaundice, Obstructive - etiology</subject><subject>Malignancy</subject><subject>Middle Aged</subject><subject>Pancreatitis</subject><subject>Pancreatitis - complications</subject><subject>Pancreatitis - diagnostic imaging</subject><subject>Pancreatitis - surgery</subject><subject>Stricture</subject><subject>Treatment Outcome</subject><subject>Ultrasound</subject><subject>walled-off necrosis</subject><issn>0918-2918</issn><issn>1349-7235</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><recordid>eNptkd9rFDEQx4Mo9qz-CxLwxZc982OzSV6E2qotFCtUwbeQTWbvcuxma5It9L931zsPLb7MDOQz38nMFyFMyZrRRr8LsUCKth_ABxcirEWzlkroJ2hFea0rybh4ilZEU1WxOZygFznvCOFKavYcnTBVC8WJWqEfV7Hr7TDYMqYH_CH0gC8mV_BNm0uaizBG7KcU4gaXLeBLsP1S3xa7ATx2-BbuIQE-c1MB_NVGl8CWUEJ-iZ51ts_w6pBP0fdPH7-dX1bXN5-vzs-uK9c0Taksr5lomVSt1JIT2fnOW0eUl95Z1VIvqNUtt15oqduGMk-o50o46aX0jean6P1e925q53M4iCXZ3tylMNj0YEYbzL8vMWzNZrw3op4v1vBZ4O1BII0_J8jFDCE76HsbYZyyoUpzLan6PevNI3Q3TosP2TBCa8EYZ2Km1J5yacw5QXf8DCVmsc88ts-Ixiz2za2v_17m2PjHrxn4sgd2eXHgCNhUguvhv8p6CYcJR9BtbTIQ-S9Y9LpX</recordid><startdate>20170101</startdate><enddate>20170101</enddate><creator>Yamabe, Akane</creator><creator>Irisawa, Atsushi</creator><creator>Shibukawa, Goro</creator><creator>Sato, Ai</creator><creator>Fujisawa, Mariko</creator><creator>Arakawa, Noriyuki</creator><creator>Yoshida, Yoshitsugu</creator><creator>Igarashi, Ryo</creator><creator>Maki, Takumi</creator><creator>Yamamoto, Shogo</creator><creator>Ikeda, Tsunehiko</creator><creator>Abe, Yoko</creator><creator>Hoshi, Koki</creator><general>The Japanese Society of Internal Medicine</general><general>Japan Science and Technology Agency</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>7TK</scope><scope>7U9</scope><scope>H94</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20170101</creationdate><title>Inflammatory Bile Duct Obstruction during the Healing Stage of Severe Acute Pancreatitis</title><author>Yamabe, Akane ; Irisawa, Atsushi ; Shibukawa, Goro ; Sato, Ai ; Fujisawa, Mariko ; Arakawa, Noriyuki ; Yoshida, Yoshitsugu ; Igarashi, Ryo ; Maki, Takumi ; Yamamoto, Shogo ; Ikeda, Tsunehiko ; Abe, Yoko ; Hoshi, Koki</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c666t-a3425b278b797307fdfdac08d7dca8b1d51a9b3ad5979b612d01d385c7d77d693</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>acute pancreatitis</topic><topic>Bile</topic><topic>bile duct obstruction</topic><topic>Bile ducts</topic><topic>Case Report</topic><topic>Cholangiopancreatography, Endoscopic Retrograde</topic><topic>Cholangiopancreatography, Magnetic Resonance</topic><topic>Cholestasis - diagnostic imaging</topic><topic>Cholestasis - etiology</topic><topic>Cholestasis - pathology</topic><topic>Endoscopy</topic><topic>Endosonography</topic><topic>Etiology</topic><topic>Female</topic><topic>Fibrosis</topic><topic>Humans</topic><topic>Inflammation</topic><topic>Internal medicine</topic><topic>Jaundice</topic><topic>Jaundice, Obstructive - etiology</topic><topic>Malignancy</topic><topic>Middle Aged</topic><topic>Pancreatitis</topic><topic>Pancreatitis - complications</topic><topic>Pancreatitis - diagnostic imaging</topic><topic>Pancreatitis - surgery</topic><topic>Stricture</topic><topic>Treatment Outcome</topic><topic>Ultrasound</topic><topic>walled-off necrosis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yamabe, Akane</creatorcontrib><creatorcontrib>Irisawa, Atsushi</creatorcontrib><creatorcontrib>Shibukawa, Goro</creatorcontrib><creatorcontrib>Sato, Ai</creatorcontrib><creatorcontrib>Fujisawa, Mariko</creatorcontrib><creatorcontrib>Arakawa, Noriyuki</creatorcontrib><creatorcontrib>Yoshida, Yoshitsugu</creatorcontrib><creatorcontrib>Igarashi, Ryo</creatorcontrib><creatorcontrib>Maki, Takumi</creatorcontrib><creatorcontrib>Yamamoto, Shogo</creatorcontrib><creatorcontrib>Ikeda, Tsunehiko</creatorcontrib><creatorcontrib>Abe, Yoko</creatorcontrib><creatorcontrib>Hoshi, Koki</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Internal Medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yamabe, Akane</au><au>Irisawa, Atsushi</au><au>Shibukawa, Goro</au><au>Sato, Ai</au><au>Fujisawa, Mariko</au><au>Arakawa, Noriyuki</au><au>Yoshida, Yoshitsugu</au><au>Igarashi, Ryo</au><au>Maki, Takumi</au><au>Yamamoto, Shogo</au><au>Ikeda, Tsunehiko</au><au>Abe, Yoko</au><au>Hoshi, Koki</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Inflammatory Bile Duct Obstruction during the Healing Stage of Severe Acute Pancreatitis</atitle><jtitle>Internal Medicine</jtitle><addtitle>Intern. Med.</addtitle><date>2017-01-01</date><risdate>2017</risdate><volume>56</volume><issue>9</issue><spage>1037</spage><epage>1040</epage><pages>1037-1040</pages><issn>0918-2918</issn><eissn>1349-7235</eissn><abstract>The patient was a 62-year-old woman with a history of severe acute pancreatitis complicated by walled-off necrosis (WON), who developed obstructive jaundice during the recovery phase from WON. Magnetic resonance cholangiopancreatography (MRCP) and endoscopic retrograde cholangiopancreatography (ERCP) revealed the complete obstruction of the distal bile duct, and endoscopic ultrasonography (EUS) revealed thickening of the duct wall, with a uniform distribution, and a relatively well-preserved layered structure. A cytopathological examination using ERCP showed no malignancy. The underlying etiology of this case may have been the formation of a cicatricial stricture during the resolution of WON, in addition to fibrosis caused by the spreading of inflammation from pancreatitis.</abstract><cop>Japan</cop><pub>The Japanese Society of Internal Medicine</pub><pmid>28458308</pmid><doi>10.2169/internalmedicine.56.7859</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Internal Medicine, 2017/05/01, Vol.56(9), pp.1037-1040 |
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| language | eng |
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| source | PubMed Central |
| subjects | acute pancreatitis Bile bile duct obstruction Bile ducts Case Report Cholangiopancreatography, Endoscopic Retrograde Cholangiopancreatography, Magnetic Resonance Cholestasis - diagnostic imaging Cholestasis - etiology Cholestasis - pathology Endoscopy Endosonography Etiology Female Fibrosis Humans Inflammation Internal medicine Jaundice Jaundice, Obstructive - etiology Malignancy Middle Aged Pancreatitis Pancreatitis - complications Pancreatitis - diagnostic imaging Pancreatitis - surgery Stricture Treatment Outcome Ultrasound walled-off necrosis |
| title | Inflammatory Bile Duct Obstruction during the Healing Stage of Severe Acute Pancreatitis |
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