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. 2015 Oct 15;44(8):1290–1295. doi: 10.1097/MPA.0000000000000429

FIGURE 6.

FIGURE 6

The management of a GOO case caused by a PP and complicated by pancreatic leakage. A, 4 weeks after the onset of AP, the patient developed DGE and the CECT showed GOO caused by a PP. B, 3 days into PCD treatment, both DGE symptoms and pseudocyst size improved significantly. C, 15 days into PCD treatment, a pseudocyst developed secondary infections and the CECT suggested intraluminal gas. D, 3 weeks after intensified drainage and lavage, intraluminal infection improved and cavities shrank. E, 16 months after the onset, the patients experienced back pain. The CECT showed re-enlargement of the PP. Increased amylase in the paracentesis fluid suggested pancreatic leakage. F, 1 week after pseudocyst jejunostomy, the pseudocyst disappeared.