Acute complicated necrotising pancreatitis treated with video-assisted retroperitoneal debridement

Sergejs Šapovalovs (Coresponding Author), Viktors Ļiņovs, Andris Gardovskis, Sintija Lapsa, Māris Pavārs, Jânis Gardovskis

Research output: Contribution to journalArticlepeer-review

Abstract

Acute necrotising pancreatitis is a complex disease with high morbidity and mortality rates. In cases of infected necrosis, treatment consists of a step-up approach involving endoscopic or mini-invasive surgical methods. In some cases, there are extremely rare complications. In addition, the underlying comorbidities worsen the course of the disease. We report a case of a 32-year-old male with acute necrotising pancreatitis complicated with recurrent retroperitoneal abscesses, sepsis, iatrogenic pylephlebitis, exacerbation of underlying Crohn's disease, and the outcome of the treatment was successful. During the period of hospitalisation, one ultrasound-guided percutaneous drainage, two computed tomography-guided punctures of the retroperitoneal space (percutaneous and transhepatic) and five video-assisted retroperitoneal debridement procedures were carried out. The patient was discharged after 185 days of hospitalisation.

Original languageEnglish
Pages (from-to)136-141
Number of pages6
JournalProceedings of the Latvian Academy of Sciences, Section B: Natural, Exact, and Applied Sciences
Volume75
Issue number2
DOIs
Publication statusPublished - 1 Apr 2021

Keywords

  • Crohn's disease
  • Necrotomy
  • Pylephlebitis
  • Sepsis
  • Step-up approach
  • VARD

Field of Science

  • 3.2 Clinical medicine

Publication Type

  • 1.1. Scientific article indexed in Web of Science and/or Scopus database

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