<abstract xmlns="http://www.w3.org/1999/xhtml"><p>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.</p></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 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.

Acute Complicated Necrotising Pancreatitis Treated with Video-Assisted Retroperitoneal Debridement

Pauls Stradiņš Clinical University Hospital

Proceedings of the Latvian Academy of Sciences. Section B. Natural, Exact, and Applied Sciences.

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Acute necrotising pancreatitis is a complex disease with high morbidity and mortality rates. In cases of infected necrosis, treatment consists of a step-up...

Acute Complicated Necrotising Pancreatitis Treated with Video-Assisted Retroperitoneal Debridement

Published Online: May 08, 2021

Page range: 136 - 141

Received: Jun 03, 2020

Accepted: Mar 31, 2021

DOI: https://doi.org/10.2478/prolas-2021-0021

Keywords
step-up approach, necrotomy, Crohn’s disease, pylephlebitis, VARD, sepsis

© 2021 Sergejs Šapovalovs et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Acute Complicated Necrotising Pancreatitis Treated with Video-Assisted Retroperitoneal Debridement

Published Online: May 08, 2021

Page range: 136 - 141

Received: Jun 03, 2020

Accepted: Mar 31, 2021

DOI: https://doi.org/10.2478/prolas-2021-0021

Keywordsstep-up approach, necrotomy, Crohn’s disease, pylephlebitis, VARD, sepsis

© 2021 Sergejs Šapovalovs et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Keywords
step-up approach, necrotomy, Crohn’s disease, pylephlebitis, VARD, sepsis