The patient underwent laparotomy with
necrosectomy and splenectomy with a 32 F catheter drainage of the cavity, 6 weeks after the diagnosis.
Another
necrosectomy 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 [14], 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 [8] A.Abu C/S Musa [9] Shih-Chang Pancreatic Chuang [10]
Necrosectomy, Right Hemicolectomy Ileostomy, Cholecys-tostomy, Gastrostomy, Feeding Alptekin C/S Gursoy [11] (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.