Ultrasound-guided Catheter Decompression of Afferent Loop Obstruction after Pancreaticoduodenectomy: A Case Report

• Published in: Advanced ultrasound in diagnosis and therapy Vol. 3; no. 3; pp. 140 - 143
• Main Authors: Zhanli, Wei, MM, Jie, Li, MM, Hua, Wang, MD, Xiaopeng, Li, MD
• Format: Journal Article
• Language: English
• Published: Editorial Office of Advanced Ultrasound in Diagnosis and Therapy 30.09.2019
• Subjects: ultrasound-guided|percutaneous trans-hepatic|catheter intestinal decompression|afferent loop obstruction
• ISSN: 2576-2516; 2576-2516
• DOI: 10.37015/AUDT.2019.190825

Ultrasound-guided percutaneous trans-hepatic intestinal drainage is a rare intervention operation at home and broad.We report this case of percutaneous trans-hepatic intestinal drainage because of its mechanic intestinal obstruction. A 61-year-old woman was admitted to our hospital for abdominal distension, stomachache, vomit. The symptoms could not be alleviated by routine fast and nasogastric tube. She had received pancreaticoduodenectomy as a result of carcinoma of pancreatic head three months before this hospital visit. T-tube angiography showed obvious afferent loop obstruction and ultrasonography demonstrated dilated proximal intestines. Considering her poor laboratory results, we put a pigtail into the patient’s dilated proximal intestines instead of administering laparotomy to alleviate intestinal pressure in a short time. Our case mainly stresses the feasibility of ultrasound-guided percutaneous trans-hepatic catheter intestinal decompression in special circumstances.