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Acute obstructive suppurative pancreatic ductitis (AOSPD) in pancreatic cancer treated by nasopancreatic drainage

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Abstract

An 80-year-old woman with pancreatic cancer was admitted with fever and abdominal pain. Blood examinations showed an elevated CRP level. On computed tomography (CT), a pancreatic tumor with a dilated upstream main pancreatic duct (MPD) was seen. Endoscopic retrograde cholangiopancreatography (ERCP) showed the strictured part of the MPD at the head of the pancreas with upstream dilatation. A nasopancreatic drainage tube was placed. Through the tube, purulent pancreatic juice was discharged and culture of the pancreatic juice grew Klebsiella pneumoniae. On the day after ERCP, the patient’s condition and the laboratory results improved. The patient’s disorder was diagnosed as acute obstructive suppurative pancreatitis with pancreatic cancer.

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Authors and Affiliations

  1. Department of Gastroenterology, Tokyo Metropolitan Cancer and Infectious Diseases Center Komagome Hospital, Tokyo, Japan

    Ryoko Shimizuguchi, Masataka Kikuyama, Terumi Kamisawa, Sawako Kuruma & Kazuro Chiba

Authors
  1. Ryoko Shimizuguchi
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  2. Masataka Kikuyama
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  3. Terumi Kamisawa
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  4. Sawako Kuruma
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  5. Kazuro Chiba
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Corresponding author

Correspondence to Masataka Kikuyama.

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Ryoko Shimizuguchi, Masataka Kikuyama, Terumi Kamisawa, Sawako Kuruma, Kazuro Chiba declare that they have no conflict of interest.

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

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Informed consent was obtained from the patient and her family.

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Shimizuguchi, R., Kikuyama, M., Kamisawa, T. et al. Acute obstructive suppurative pancreatic ductitis (AOSPD) in pancreatic cancer treated by nasopancreatic drainage. Clin J Gastroenterol 11, 315–319 (2018). https://doi.org/10.1007/s12328-018-0830-z

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  • DOI: https://doi.org/10.1007/s12328-018-0830-z

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