Korean J Pancreas Biliary Tract.  2017 Apr;22(2):87-91. 10.15279/kpba.2017.22.2.87.

Acute Pancreatitis Induced by Compression of Main Pancreatic Duct due to Large Stones and Catheter in the Common Bile Duct

• Choi YM
• Jeong SU
• Lee HY
• Jang HS
• Choi EK

• KMID: 2448600
• DOI: http://doi.org/10.15279/kpba.2017.22.2.87

Abstract

Acute pancreatitis is occasionally caused by endoscopic treatments or radiologic interventions of the pancreatobiliary tract. However, no reports indicate that acute pancreatitis resulted from the insertion of a percutaneous transhepatic cholangiography (PTCS) catheter in the common bile duct (CBD). A 65-year-old woman visited our hospital with acute cholangitis due to about 3 cm-sized CBD stones. We planned to perform PTCS because of the large stones and altered anatomy (Billroth II). The patient was discharged after tract dilatation and insertion of a PTCS catheter in the distal CBD without manipulations of Ampulla of Vater (AOV). However, she visited the emergency room due to acute pancreatitis at three days after discharge. Computed tomography revealed upstream dilation of the main pancreatic duct following the compressed area of a large stone and catheter. Thus, we report a case that presented with acute pancreatitis induced by insertion of a PTCS catheter without manipulations of AOV.

Keyword

Catheter; Common bile duct; Stone; Pancreatitis

MeSH Terms

Aged
Ampulla of Vater
Catheters*
Cholangiography
Cholangitis
Common Bile Duct*
Dilatation
Emergency Service, Hospital
Female
Humans
Pancreatic Ducts*
Pancreatitis*