Long-term result of minimally invasive treatment of necrotic pancreatitis complicated by subtotal retroperitoneal phlegmon and unformed duodenal fistula

Abstract

The authors present the case report of the patient with acute pancreatitis, multiple organ failure, anuria, pancreatogenic shock complicated by infection, diffused retroperitoneal phlegmon, unformed duodenal fistula, postnecrotic insular diabetes. Percutaneous catheter drainage of retroperitoneal abscess was performed under ultrasonic guidance. Therapy included somatuline. Irrigation-evacuation original system was used for debridement.

Keywords

• necrotic pancreatitis
• pancreatogenic shock
• retroperitoneal phlegmon
• duodenal fistula
• miniinvasive treatment