case_images: PMC10742384_01
case_images: a) Abdominal MRI 14 days after APP; b) Cholangio MRI 3 months after APP
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case_images: After two weeks, an abdominal MRI revealed the initial formation of a non-encapsulated pancreatic fluid collection along the left side and hypochondrium, measuring 13 x 7 x 7 cm (Fig.1a). The patient continued to refer mild abdominal pain, and a cholangio MRI confirmed the persistency of an encapsulated pancreatic fluid collection without size reduction (Fig.1b).
case_images: a) echoendoscopy; b-c) stent placement
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case_images: During the procedure, after the release of the LAMS, a 7 cm x 7 Fr double-pigtail plastic stent (DPPS) was coaxially released (Fig.2); the post-operative course was uneventful and the patient was discharged after 48 hours.
case_images: a) DPPS positioning; b) radiological control
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case_images: Seven days thereafter, an abdominal ultrasound confirmed the complete resolution of the PCF, the LAMS was removed, and a "soft" DPPS 7 cm x 10 Fr (Solus-Cook ) was positioned endoscopically in the cystic cavity under endoscopic and radiological control (Fig.3).