Acute obstructive suppurative pancreatic ductitis (AOSPD) in pancreatic cancer treated by nasopancreatic drainage.
Ryoko ShimizuguchiMasataka KikuyamaTerumi KamisawaSawako KurumaKazuro ChibaPublished in: Clinical journal of gastroenterology (2018)
An 80-year-old woman with pancreatic cancer was admitted with fever and abdominal pain. Blood examinations showed an elevated CRP level. On computed tomography (CT), a pancreatic tumor with a dilated upstream main pancreatic duct (MPD) was seen. Endoscopic retrograde cholangiopancreatography (ERCP) showed the strictured part of the MPD at the head of the pancreas with upstream dilatation. A nasopancreatic drainage tube was placed. Through the tube, purulent pancreatic juice was discharged and culture of the pancreatic juice grew Klebsiella pneumoniae. On the day after ERCP, the patient's condition and the laboratory results improved. The patient's disorder was diagnosed as acute obstructive suppurative pancreatitis with pancreatic cancer.
Keyphrases
- computed tomography
- klebsiella pneumoniae
- liver failure
- case report
- ultrasound guided
- escherichia coli
- abdominal pain
- multidrug resistant
- respiratory failure
- magnetic resonance imaging
- positron emission tomography
- image quality
- drug induced
- magnetic resonance
- contrast enhanced
- intensive care unit
- extracorporeal membrane oxygenation
- pet ct
- optical coherence tomography
- mechanical ventilation