The patient underwent laparotomy with necrosectomy
and splenectomy with a 32 F catheter drainage of the cavity, 6 weeks after the diagnosis.
was performed, and the patient received seven doses (one every other day) of autovaccine.
Until recently, the choice of intervention in infected necrotizing pancreatitis has been surgical necrosectomy
with the aim of removing all infected necrosis.
It includes acute pancreatitis (AP), chronic pancreatitis (CP), and iatrogenic bleeding, such as post-pancreatectomy hemorrhage (PPH) and pancreatic necrosectomy
. Since pancreatic enzymes are released during pancreatitis or post-pancreatectomy, vascular structures, particularly the visceral arteries, are corroded by the proteolytic activity of these enzymes.
A total of 4 patients required surgical intervention in the form of necrosectomy
, 8 (26.67%) in the NG group and 4 (13.33%) in the NJ group.
In the management of infected pancreatic necrosis , 17 (85%) patients underwent percutaneous catheter drainage, then 8 (40%) patients underwent double-tube continuous negative-pressure suction, 3 (15%) patients underwent endoscopic necrosectomy
, and 12 (60%) patients underwent open necrosectomy
C/S Sleth  A.Abu C/S Musa  Shih-Chang Pancreatic Chuang  Necrosectomy
, Right Hemicolectomy Ileostomy, Cholecys-tostomy, Gastrostomy, Feeding Alptekin C/S Gursoy  (3230 g) V.
Pancreaticoduodenectomy and necrosectomy
are a surgical extreme that may be required based on the severity of the disease process [4, 5].
The bleeding was stopped by ligation, and resection of the cyst was performed along with a necrosectomy
. Also, the gallbladder was removed as the presence of gallstones was documented intraoperatively.
Direct transmural endoscopic necrosectomy
was first described by Seifert et al.
Raraty et al., "Early and late complications after pancreatic necrosectomy
," Surgery, vol.
Sato et al., "A case of walled-off necrosis with systemic lupus erythematosus: successful treatment with endoscopic necrosectomy
," Seminars in Arthritis and Rheumatism, vol.