ArticleClinical journal of gastroenterology2019
Obstructive pancreatitis secondary to a pancreatic metastasis from lung cancer treated with nasopancreatic drainage.
Article in Clinical journal of gastroenterology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed, 5 citations in OpenAlex.
- Clinical and imaging manifestations of metastases from rare sites.Quantitative imaging in medicine and surgery · 2026Review
- Case report: Acute pancreatitis in lung adenocarcinoma with small cell transformation after multiple line targeted therapy.Frontiers in oncology · 2024Article
- Camrelizumab combined with chemotherapy for stage IV pulmonary sarcomatoid cancer with pancreatic metastases.Respiratory medicine case reports · 2024Article
- Malignant biliary obstruction due to metastatic non-hepato-pancreato-biliary cancer.World journal of gastroenterology · 2022Review
- Distant organ metastasis patterns in lung cancer patients with pancreatic metastasis - a cluster analysis.Contemporary oncology (Poznan, Poland) · 2022Article
- Pancreatic metastasis from squamous cell lung cancer: computed tomography and magnetic resonance imaging findings.The Journal of international medical research · 2021Article
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Authors and funding
4 authors at 1 institution in 1 country.
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Abstract
A 44- and a 66-year-old woman underwent nasopancreatic drainage (NPD) to treat obstructive pancreatitis secondary to a pancreatic metastasis from lung cancer. Both patients were diagnosed with stage IV lung cancer and underwent chemotherapy for 17 and 15 months, respectively. Abdominal ultrasonography and computed tomography revealed a solid pancreatic tail tumor measuring 2.5 cm and 1.3 cm in diameter, respectively. Additionally, we observed dilatation of the upstream main pancreatic duct (MPD) and edematous parenchyma with peripancreatic inflammatory changes limited to the pancreatic tail. Both patients were diagnosed with moderately severe acute pancreatitis and received fluid resuscitation, an opioid analgesic, antibiotics, and a protease inhibitor. However, owing to unrelenting pain, we performed endoscopic retrograde cholangiopancreatography (ERCP) for pancreatic duct drainage in both patients. ERCP showed a stricture in the MPD in the pancreatic tail with upstream dilatation. A 5-Fr NPD tube was inserted to drain the dilated MPD, and cloudy pancreatic juice was drained. NPD tube placement led to pain relief in both patients. Pancreatic juice cultures grew Enterococcus faecium and Enterobacter cloacae, respectively. The NPD tube was later cut in both cases using a pair of scissor forceps.
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