Pancreaticobiliary Fistula Evident after ESWL Treatment of Pancreatolithiasis
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概要
- 論文の詳細を見る
Here we report a patient with a pancreaticobiliary fistula that was possibly associated with pancreatolithiasis. He was admitted due to mild pancreatitis. Pancreatolithiasis was revealed in the parenchyma of the head region and in the main pancreatic duct of the pancreas body with distal dilatation. Extracorporeal shock wave lithotripsy (ESWL) effectively eliminated the pancreatic stones; however, an apparent internal fistula from the middle portion of the common bile duct (CBD) to the main pancreatic duct was revealed where the parenchymal stones had been located. The patient was considered to be in the same condition as pancreato-biliary malunion without CBD dilatation, and was treated with laparoscopic cholecystectomy.
著者
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Tanaka Eiji
Department Of Digestion And Cardiovascular Medicine University Of Tokushima
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Kawa Shigeyuki
Department Of Internal Medicine Shinshu University School Of Medicine
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Kodama Ryou
Department Of Gastroenterology Shinshu University School Of Medicine
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Takayama Mari
Department Of Gastroenterology Shinshu University School Of Medicine
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Hamano Hideaki
Department Of Gastroenterology Shinshu University School Of Medicine
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Chou Yoshimi
Department Of Gastroenterology Shinshu University School Of Medicine
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Ozaki Yayoi
Department Of Gastroenterology Nagano Municipal Hospital
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Arakura Norikazu
Department Of Gastroenterology Shinshu University School Of Medicine
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Kodama Ryou
Department of Gastroenterology, Shinshu University School of Medicine
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MARUYAMA Masafumi
Department of Bioresources, Faculty of Agriculture, Ehime University
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Arakura Norikazu
Department of Endoscopic Examination Center, Shinshu University School of Medicine, Japan
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