International journal of surgery case reports · 2024
Pancreatic duct stones treated by Whipple as a last resort: A case report.
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
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Ghanem Usra I, Bael Peter R, Bakri Izzeddin, Jaber Bashar, Abu-Zaydeh Omar, Al-Shawa Khaled N
Аннотация
INTRODUCTION AND IMPORTANCE: Chronic Pancreatitis is an irreversible inflammation of the pancreas that can lead to fibrosis and scar formation. Pseudocysts are a late complication of chronic pancreatitis and abdominal pain is the most common presenting complaint.
CASE PRESENTATION: A 48-year-old male who is a known case of chronic pancreatitis presented to our department complaining of abdominal pain for a duration of three weeks. A CT scan revealed a pseudocyst in the head of the pancreas, stones in the unicate process along with dilatation of the body and tail of the pancreas.
CLINICAL DISCUSSION: After multiple ERCP failures and considering other endoscopic options, the patient was indicated for the Whipple procedure with Roux-en-y reconstruction. Postoperatively, the patient stayed in the hospital for about a week. He was asymptomatic and well but had an elevated random blood sugar level. He was discharged and recommended to follow up with an endocrinologist.
CONCLUSION: Whipple procedure can be used for patients with multiple pancreatic duct stones when endoscopic therapies are not effective.
CASE PRESENTATION: A 48-year-old male who is a known case of chronic pancreatitis presented to our department complaining of abdominal pain for a duration of three weeks. A CT scan revealed a pseudocyst in the head of the pancreas, stones in the unicate process along with dilatation of the body and tail of the pancreas.
CLINICAL DISCUSSION: After multiple ERCP failures and considering other endoscopic options, the patient was indicated for the Whipple procedure with Roux-en-y reconstruction. Postoperatively, the patient stayed in the hospital for about a week. He was asymptomatic and well but had an elevated random blood sugar level. He was discharged and recommended to follow up with an endocrinologist.
CONCLUSION: Whipple procedure can be used for patients with multiple pancreatic duct stones when endoscopic therapies are not effective.