| Literature DB >> 29464657 |
Ryoko Shimizuguchi1, Masataka Kikuyama2, Terumi Kamisawa1, Sawako Kuruma1, Kazuro Chiba1.
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.Entities:
Keywords: Pancreatic cancer; Pancreatic juice; Pancreatitis
Mesh:
Year: 2018 PMID: 29464657 DOI: 10.1007/s12328-018-0830-z
Source DB: PubMed Journal: Clin J Gastroenterol ISSN: 1865-7265