Korean J Pancreas Biliary Tract.  2015 Oct;20(4):228-233. 10.15279/kpba.2015.20.4.228.

Endoscopic Ultrasound-guided Drainage of Fluid Collection on Lesser Sac after Pancreaticoduodenectomy Not Accessible to Percutaneous Drainage

• Choi CJ
• Moon SH
• Kim JH
• Park JW
• Kim SE
• Park CK
• Jeon JY

• KMID: 2448502
• DOI: http://doi.org/10.15279/kpba.2015.20.4.228

Abstract

Postoperative fluid collection is a major complication after pancreaticoduodenectomy and can lead to increased mortality and hospital length of stay. External drainage has widely been used for postoperative fluid collections. Recently, EUS-guided drainage has also been used successfully in treating postoperative fluid collections. A 60-year-old woman was admitted due to weight loss and jaundice. She underwent pancreaticoduodenectomy for cholangiocarcinoma of the common bile duct. After 2 weeks, she had fever with abdominal pain and leukocytosis. CT showed a increased fluid collection in superior recess of lesser sac and EUS-guided drainage was performed. The symptoms resolved without any complication after drainage. This is the first case report of EUS-guided drainage for lesser sac in Korea.

Keyword

Pancreaticoduodenectomy; Postoperative complication; Endosonography; Drainage

MeSH Terms

Abdominal Pain
Cholangiocarcinoma
Common Bile Duct
Drainage*
Endosonography
Female
Fever
Humans
Jaundice
Korea
Length of Stay
Leukocytosis
Middle Aged
Mortality
Pancreaticoduodenectomy*
Peritoneal Cavity*
Postoperative Complications
Weight Loss