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KMID : 0870420140180020064
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Korean Journal of Hepato-Biliary-Pancreatic Surgery
2014 Volume.18 No. 2 p.64 ~ p.67
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Fatal liver injury complicated by percutaneous catheter drainage after distal pancreatosplenectomy in a patient with pancreatic cancer
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Lee Sung-Hwan
Kang Chang-Moo
Chung Yong-Eun
Park Jeong-Youp
Lee Woo-Jung
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Abstract
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Postoperative pancreatic fistula (POPF) combined with postoperative fluid collection, bleeding and abscess formation is one of the most critical morbidities after distal pancreatectomy or pancreaticoduodenectomy. Percutaneous catheter drainage has been commonly used for managing for the postoperative management of abnormal fluid collection. Removal of the catheter is rarely associated with occurrence of life-threatening complication such as serious liver damage. Herein, we report a case of unexpected fatal liver injury complicated by percutaneous catheter drainage treat-ment after distal pancreatosplenectomy in a patient with pancreatic cancer. We suggest that prudent decision for timing of catheter removal and meticulous care during procedure can reduce the possibility of major liver injury in patients with percutaneous transhepatic catheter drainage.
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KEYWORD
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Liver injury, Complication, Percutaneous catheter drainage, Distal pancreatosplenectomy, Pancreatic cancer
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