Inflammatory bile duct obstruction during the healing stage of severe acute pancreatitis

Akane Yamabe; Atsushi Irisawa; Goro Shibukawa; Ai Sato; Mariko Fujisawa; Noriyuki Arakawa; Yoshitsugu Yoshida; Ryo Igarashi; Takumi Maki; Shogo Yamamoto; Tsunehiko Ikeda; Yoko Abe; Koki Hoshi

doi:10.2169/internalmedicine.56.7859

Inflammatory bile duct obstruction during the healing stage of severe acute pancreatitis

Akane Yamabe, Atsushi Irisawa, Goro Shibukawa, Ai Sato, Mariko Fujisawa, Noriyuki Arakawa, Yoshitsugu Yoshida, Ryo Igarashi, Takumi Maki, Shogo Yamamoto, Tsunehiko Ikeda, Yoko Abe, Koki Hoshi

Fukushima Medical University

Research output: Contribution to journal › Article › peer-review

1 Citation (Scopus)

Abstract

The patient was a 62-year-old woman with a history of severe acute pancreatitis complicated by walled-off necrosis (WON), who developed obstructive jaundice during the recovery phase from WON. Magnetic resonance cholangiopancreatography (MRCP) and endoscopic retrograde cholangiopancreatography (ERCP) revealed the complete obstruction of the distal bile duct, and endoscopic ultrasonography (EUS) revealed thickening of the duct wall, with a uniform distribution, and a relatively well-preserved layered structure. A cyto-pathological examination using ERCP showed no malignancy. The underlying etiology of this case may have been the formation of a cicatricial stricture during the resolution of WON, in addition to fibrosis caused by the spreading of inflammation from pancreatitis.

Original language	English
Pages (from-to)	1037-1040
Number of pages	4
Journal	Internal Medicine
Volume	56
Issue number	9
DOIs	https://doi.org/10.2169/internalmedicine.56.7859
Publication status	Published - 2017
Externally published	Yes

Keywords

Acute pancreatitis
Bile duct obstruction
Walled-off necrosis

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10.2169/internalmedicine.56.7859

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title = "Inflammatory bile duct obstruction during the healing stage of severe acute pancreatitis",

abstract = "The patient was a 62-year-old woman with a history of severe acute pancreatitis complicated by walled-off necrosis (WON), who developed obstructive jaundice during the recovery phase from WON. Magnetic resonance cholangiopancreatography (MRCP) and endoscopic retrograde cholangiopancreatography (ERCP) revealed the complete obstruction of the distal bile duct, and endoscopic ultrasonography (EUS) revealed thickening of the duct wall, with a uniform distribution, and a relatively well-preserved layered structure. A cyto-pathological examination using ERCP showed no malignancy. The underlying etiology of this case may have been the formation of a cicatricial stricture during the resolution of WON, in addition to fibrosis caused by the spreading of inflammation from pancreatitis.",

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year = "2017",

doi = "10.2169/internalmedicine.56.7859",

language = "English",

volume = "56",

pages = "1037--1040",

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T1 - Inflammatory bile duct obstruction during the healing stage of severe acute pancreatitis

AU - Yamabe, Akane

AU - Irisawa, Atsushi

AU - Shibukawa, Goro

AU - Sato, Ai

AU - Fujisawa, Mariko

AU - Arakawa, Noriyuki

AU - Yoshida, Yoshitsugu

AU - Igarashi, Ryo

AU - Maki, Takumi

AU - Yamamoto, Shogo

AU - Ikeda, Tsunehiko

AU - Abe, Yoko

AU - Hoshi, Koki

PY - 2017

Y1 - 2017

N2 - The patient was a 62-year-old woman with a history of severe acute pancreatitis complicated by walled-off necrosis (WON), who developed obstructive jaundice during the recovery phase from WON. Magnetic resonance cholangiopancreatography (MRCP) and endoscopic retrograde cholangiopancreatography (ERCP) revealed the complete obstruction of the distal bile duct, and endoscopic ultrasonography (EUS) revealed thickening of the duct wall, with a uniform distribution, and a relatively well-preserved layered structure. A cyto-pathological examination using ERCP showed no malignancy. The underlying etiology of this case may have been the formation of a cicatricial stricture during the resolution of WON, in addition to fibrosis caused by the spreading of inflammation from pancreatitis.

AB - The patient was a 62-year-old woman with a history of severe acute pancreatitis complicated by walled-off necrosis (WON), who developed obstructive jaundice during the recovery phase from WON. Magnetic resonance cholangiopancreatography (MRCP) and endoscopic retrograde cholangiopancreatography (ERCP) revealed the complete obstruction of the distal bile duct, and endoscopic ultrasonography (EUS) revealed thickening of the duct wall, with a uniform distribution, and a relatively well-preserved layered structure. A cyto-pathological examination using ERCP showed no malignancy. The underlying etiology of this case may have been the formation of a cicatricial stricture during the resolution of WON, in addition to fibrosis caused by the spreading of inflammation from pancreatitis.

KW - Acute pancreatitis

KW - Bile duct obstruction

KW - Walled-off necrosis

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DO - 10.2169/internalmedicine.56.7859

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SN - 0918-2918

VL - 56

SP - 1037

EP - 1040

JO - Internal Medicine

JF - Internal Medicine

IS - 9

ER -

Inflammatory bile duct obstruction during the healing stage of severe acute pancreatitis

Abstract

Keywords

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