Document Detail

Successful endoscopic transpapillary pancreaticobiliary drainage for omental panniculitis by hepatocellular carcinoma complicated by biliary fistula and pancreatic fistula.
MedLine Citation:
PMID:  22790630     Owner:  NLM     Status:  In-Data-Review    
A 78-year-old man with hepatocellular carcinoma treated by chemoembolization and percutaneous ethanol injection was admitted to our hospital because of acute abdomen. The CT scan showed biliary fistula caused by hepatocellular carcinoma protruding from S3. Endoscopic retrograde cholangiopancreatography showed disruption of an intrahepatic duct and the main pancreatic duct, and contrast agent leaked into the peritoneal cavity from each duct. Omental panniculitis with biliary fistula and pancreatic fistula was diagnosed. The symptoms improved by endoscopic nasobiliary drainage and endoscopic pancreatic stenting. On the 13th day after admission, we added endoscopic nasopancreatic drainage because his abdominal pain had been exacerbated by pancreatic juice leakage. Omental panniculitis by hepatocellular carcinoma complicated by biliary fistula and pancreatic fistula is extremely rare. Endoscopic transpapillary pancreaticobiliary drainage was effective for omental panniculitis in this case.
Yuji Shindo; Hiroyuki Miyatani; Takeshi Uehara; Takashi Ikeya; Kenichi Yamanaka; Masatoshi Ikeda; Kouichi Tokai; Shinya Ushimaru; Satohiro Matsumoto; Takeharu Asano; Toru Takamatsu; Masanori Fukunishi; Takaaki Iwaki; Yoshinori Sagihara; Shinichi Asabe; Yukio Yoshida
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Nihon Shokakibyo Gakkai zasshi = The Japanese journal of gastro-enterology     Volume:  109     ISSN:  1349-7693     ISO Abbreviation:  Nihon Shokakibyo Gakkai Zasshi     Publication Date:  2012  
Date Detail:
Created Date:  2012-07-13     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  2984683R     Medline TA:  Nihon Shokakibyo Gakkai Zasshi     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  1243-9     Citation Subset:  IM    
Department of Gastroenterology, Saitama Medical Center Jichi Medical University.
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