Nephroscopic Management of Giant Infected Pancreatic Pseudocyst After Drainage

Abstract

We describe a successful simple, hitherto not described but may have been performed somewhere in the world a nephroscopic technique for the treatment of pancreatic pseudocyst (PP) in urgent or high-risk cases. Endoscopic drainage is recognized as preferred management for patients with PP. However, external drainage ought to be a valuable management in exceptional cases. Nephroscopic management is a minimally invasive approach (MIA) commonly conducted in patient with acute infected pancreatic necrosis (IPN) after percutaneous catheter drainage (PCD). It is frequently operated in our institution. We present a case of large infected PP in an 81-year Chinese woman successfully treated by nephroscopic drainage management after urgent PCD. However, it is considered a technically specialized procedure and often requires rich experience.