Zorger, Niels and Hamer, Okka W. and Feuerbach, Stefan and Borisch, Ingitha (2005) Percutaneous treatment of a patient with infected necrotizing pancreatitis. NATURE CLINICAL PRACTICE GASTROENTEROLOGY & HEPATOLOGY, 2 (1). pp. 54-57. ISSN 1743-4378,
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Background A 50-year-old man with an acute episode of alcohol-induced chronic edematous pancreatitis and an inflammatory stenosis of the biliary tract was treated by implantation of a plastic endoprosthesis at a rural hospital in Germany. Because of his worsening condition, the patient was referred to the intensive care unit of the University Hospital, Regensburg, Germany. Contrast-enhanced CT revealed complete necrosis of the body and tail of the pancreas, formation of large retrogastric and paraduodenal fluid collections, and fluid along Gerota s fascia, as well as in the paracolic gutters. Antibiotic treatment was adjusted according to the results of microbiological testing after diagnostic puncture of the necrotic cavity. Investigations CT scan, CT-guided fine-needle aspiration and fluoroscopy. Diagnosis Infected acute necrotizing pancreatitis. Management Interventional treatment using large-bore percutaneous catheters to perform percutaneous necrosectomy, fragmentation of necrotic pancreatic tissue with a snare catheter and dormia basket, and aspiration. Parenteral nutrition and antibiotics were also administered.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | NECROSECTOMY; NECROSIS; drainage; infected acute necrotizing pancreatitis; interventional radiology; minimally invasive technique; percutaneous necrosectomy |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Röntgendiagnostik |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 08 Jun 2021 10:39 |
| Last Modified: | 08 Jun 2021 10:39 |
| URI: | https://pred.uni-regensburg.de/id/eprint/36778 |
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