PMC6319699_01
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).
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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.
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.
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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.