Korean Journal of Gastrointestinal Endoscopy 2008;37(2): 146-150.
복부 외상 후에 발생한 주췌관 가로절단과 동반된 가성낭종의 췌관 스텐트 삽입 치료 1예
전태주ㆍ박현ㆍ서동대ㆍ오태훈ㆍ신원창ㆍ최원충ㆍ김기환*
인제대학교 의과대학 상계백병원 내과학교실, *외과학교실
Endoscopic Treatment of Main Pancreatic Duct Transection, Accompanied with Pseudocyst after Abdominal Trauma, with Using Pancreatic Duct Stent: A Case Report
Tae Joo Jeon, M.D., Hyun Park, M.D., Dong Dae Seo, M.D., Tae-Hoon Oh, M.D., Won Chang Shin, M.D., Won-Choong Choi, M.D. and Ki Hwan Kim, M.D.*
Departments of Internal Medicine and *Surgery, Sanggye Paik Hospital, Inje University College of Medicine, Seoul, Korea
Abstract
Pancreatic trauma is uncommon, but this is associated with high mortality and morbidity rates. Unrecognized main pancreatic duct injury results in early complications such as fistula, pseudocyst, abscess, hemorrhage and pancreatitis. The management of traumatic pseudocyst includes observation, external drainage, internal drainage and operation. The treatment modality is determined by the site and extent of the injury to the main pancreatic duct. Pancreatic stents have been widely used to treat pancreatic diseases such as pancreatitis, pseudocyst, fistula and stricture. Pancreatic stenting has been proven to be effective in the treatment of traumatic pseudocyst associated with the partial rupture of the main pancreatic duct. Surgical treatment is currently the main stay of therapy for complete transection of the main pancreatic duct accompanied with pseudocyst, but the role of pancreatic stenting has not been established. Herein we present our clinical experience with endoscopic treatment for main pancreatic duct transection, accompanied with pseudocyst after abdominal trauma, with using a pancreatic stent. (Korean J Gastrointest Endosc 2008;37:146-150)
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