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KMID : 1048120130020010065
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International Journal of Gastrointestinal Intervention
2013 Volume.2 No. 1 p.65 ~ p.67
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Transduodenal drainage of a malignant ovarian pseudocyst for palliation of gastroduodenal and biliary obstruction (with video)
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Law Ryan
Leise Michael D.
Baron Todd H.
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Abstract
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Transmural drainage of intraabdominal fluid collections can be successfully performed utilizing a variety of endoscopic techniques. Here we present a case of metastatic ovarian cancer forming a fluid-filled cystic (pseudocyst) lesion that caused gastroduodenal and biliary obstruction and which resolved following transduodenal endoscopic drainage. A self-expandable nitinol stent, anchored by a double-pigtail plastic stent, was placed into the malignant pseudocyst cavity after transmural puncture. Following the successful procedure, the patient had rapid relief of her obstructive symptoms. Repeat cross-sectional imaging demonstrated near-complete decompression of the cyst cavity. Endoscopic transenteric drainage should be considered in patients with any type of fluid collections, abscesses, or hematomas in close apposition to the gastrointestinal tract.
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KEYWORD
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Malignant gastroduodenal obstruction, Metastatic ovarian cancer, Pseudocyst
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