Clinical Journal of Gastroenterology

, Volume 11, Issue 3, pp 206–211 | Cite as

Candidemia after endoscopic therapy with lumen-apposing metal stent for pancreatic walled-off necrosis

  • Tajana Pavic
  • Davor Hrabar
  • Dominik Kralj
  • Ivan Lerotic
  • Doris Ogresta
Case Report


Necrotizing pancreatitis remains a challenging and unpredictable condition accompanied by various complications. Endoscopic ultrasound-guided transmural drainage and necrosectomy have become the standard treatment for patients with walled-off necrosis (WON). Endoscopic therapy via lumen-apposing metal stents (LAMS) with large diameters has shown success in the management of pancreatic fluid collections, but there are few data on specific complications of that therapy. We report a case of infected WON and concomitant fungemia following LAMS placement and necrosectomy. In addition, a systematic literature review of current related studies has been provided.


Necrotizing pancreatitis Walled-off necrosis Endoscopic necrosectomy Candida 


Compliance with ethical standards

Conflict of interest

Tajana Pavic, Davor Hrabar, Dominik Kralj, Ivan Lerotic and Doris Ogresta declare that they have no conflict of interest.

Human rights

All procedures followed have been performed in accordance with the ethical standards laid down in the 1964 Declaration of Helsinki and its later amendments.

Informed consent

Informed consent was obtained from all patients for being included in the study.


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Copyright information

© Japanese Society of Gastroenterology 2018

Authors and Affiliations

  • Tajana Pavic
    • 1
  • Davor Hrabar
    • 1
  • Dominik Kralj
    • 1
  • Ivan Lerotic
    • 1
  • Doris Ogresta
    • 1
  1. 1.Department of Gastroenterology and Hepatology, Clinical Hospital Center Sestre Milosrdnice, School of MedicineUniversity of ZagrebZagrebCroatia

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