A Case of Mediastinal Pancreatic Pseudocyst Successfully Treated with Somatostatin Analogue
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概要
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A 57-year-old man with a 3-year history of chronic pancreatitis was admitted to our hospital with upper abdominal pain. Based on examination findings, the patient was diagnosed as having pseudocysts in the pancreatic body and the mediastinum that were associated with acute aggravation of chronic pancreatitis. Because of the patient refused an operation, he was submitted to conservative management including intramuscular injection with somatostatin analogue of 100 μg/day. On the 14th day of the treatment, pleural effusion and pseudocyst in the pancreatic head were additionally diagnosed based on the findings of computed tomography, magnetic resonance imaging and other examinations, and the dose of somatostatin analogue was increased to 200 μg/day. As a result, on the 28th day of the treatment, pancreatitis was inactivated, and the pseudocysts in the mediastinum and the pancreas disappeared. The patient has been followed up for 15 months, and there has been no recurrence.
- 久留米大学医学部 The Kurume Medical Journal 編集部の論文
著者
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SATA Michio
Department of Digestive Disease Information & Research
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Tsuruta Osamu
Department Of Life Science Graduate School Of Bioscience And Biotechnology Tokyo Institute Of Techno
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Ono Naofumi
Eguchi Hospital
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Okabe Yoshinobu
Department Of Gastroenterology Kyoto Second Red Cross Hospital
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Saitoh Fumihiko
Department Of Information Science Gifu University
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Toyonaga Atsushi
Department Of Medicine Division Of Gastroenterology Kurume University School Of Medicine
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Kinoshita Hisafumi
Department Of Surgery And Oncology Graduate School Of Medical Sciences Kyushu University
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SUGA HIDEYA
Department of Medicine and Division of Gastroenterology and Endoscopy
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NODA TETSUROU
Department of Medicine, Kurume University School of Medicine
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YOSHIDA HIKARU
Department of Medicine, Kurume University School of Medicine
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SAITOH FUMIHIKO
Department of Medicine, Kurume University School of Medicine
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TOYONAGA ATSUSHI
Department of Gastroenterology and Surgery, Kurume University School of Medicine
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