Nephroscopic Management of Giant Infected Pancreatic Pseudocyst After Drainage

Abstract

We describe a successful simple, hitherto not described but may have been performed somewhere in the world a nephroscopic technique for the treatment of pancreatic pseudocyst (PP) in urgent or high-risk cases. Endoscopic drainage is recognized as preferred management for patients with PP. However, external drainage ought to be a valuable management in exceptional cases. Nephroscopic management is a minimally invasive approach (MIA) commonly conducted in patient with acute infected pancreatic necrosis (IPN) after percutaneous catheter drainage (PCD). It is frequently operated in our institution. We present a case of large infected PP in an 81-year Chinese woman successfully treated by nephroscopic drainage management after urgent PCD. However, it is considered a technically specialized procedure and often requires rich experience.

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Data Availability

All data of this patient of this case report is included in this published article.

Abbreviations

PP:

Pancreatic pseudocyst

PCD:

Percutaneous catheter drainage

CT:

Computed tomography

MAP:

Mild acute pancreatitis

MDT:

Multidisciplinary team

ERCP:

Endoscopic retrograde cholangiopancreatography

IPN:

Infected pancreatic necrosis

MIAs:

Minimally invasive approaches

LC:

Laparoscopic cholecystectomy

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Contributions

Dr. Bei Lu, Dr. Yang Cai, Dr. Zhong Jia, Dr. Shijie Li, Dr. Junjie Yin, and Dr. Jingrui Wang were involved in compilation of the data and drafting of the article. All authors read and approved the final manuscript.

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Correspondence to Yang Cai.

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The authors declare that they have no conflict of interest

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The article was approved by institutional review board at our hospital (Ethic Committee of Affiliated Hangzhou First People’s Hospital, Zhejiang University School of Medicine).

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The authors certify that they have obtained all appropriate patient consent forms. In the form, the patient has given her consent for her images and other clinical information to be published in the journal. The patients understand that name and initials will not be published and due efforts will be made to conceal identity, but anonymity cannot be guaranteed.

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Lu, B., Jia, Z., Li, S. et al. Nephroscopic Management of Giant Infected Pancreatic Pseudocyst After Drainage. Indian J Surg (2020). https://doi.org/10.1007/s12262-020-02483-6

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Keywords

  • Pseudocyst
  • Nephroscope
  • Drainage