case_images: PMC6319699_01
case_images: Computed tomography scan identifying a 4.6 x 3 cm collection near the pancreaticojejunostomy (red circle) as well as a prominent proximal pancreatic duct to 4 mm (arrow).
case_images: fig-1.jpg
case_images: PMC6319699_01_fig-1.jpg
case_images: f1
case_images: Laboratory tests were notable for a WBC of 17K/muL, amylase 444 U/L, and lipase 677 U/L, and a CT A/P noted a prominent proximal pancreatic duct to 4 mm as well as a 4.6 x 3 cm collection near the PJ (Fig. 1), for which she underwent CT-guided drain placement.
case_images: Top:EUS image highlighting a dilated pancreatic duct (simple arrow). Bottom:Fluoroscopy image demonstrating adequate placement of a 7F 9-cm Hobbs stent with internal flange across the newly dilated pancreaticojejunostomy (filled-head arrow). EUS, endoscopic ultrasound.
case_images: fig-2.jpg
case_images: PMC6319699_01_fig-2.jpg
case_images: f2
case_images: Hobbs stent with an internal flange at the PJ with good drainage (Fig. 2). Her symptoms rapidly improved, and she was discharged home on hospital day 8.