Open AccessAcute Complicated Necrotising Pancreatitis Treated with Video-Assisted Retroperitoneal Debridement
Author(s) -
Sergejs Šapovalovs,
Viktors Ļiņovs,
Andris Gardovskis,
Sintija Lapsa,
Māris Pavārs,
Jānis Gardovskis
Publication year - 2021
Publication title -
proceedings of the latvian academy of sciences. section b, natural sciences/latvijas zinātņu akadēmijas vēstis. a daļa, humanitārās un sociālās zinātnes
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.168
H-Index - 9
eISSN - 2255-890X
pISSN - 1407-009X
DOI - 10.2478/prolas-2021-0021
Subject(s) - medicine , acute pancreatitis , debridement (dental) , percutaneous , retroperitoneal space , surgery , necrotizing pancreatitis , exacerbation , sepsis , pancreatitis , radiology
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 retroperito-neal space (percutaneous and transhepatic) and five video-assisted retroperitoneal debridement procedures were carried out. The patient was discharged after 185 days of hospitalisation.