'Pipe-organ'-like retroperitoneal drainage in severe necrotizing pancreatitis.

Infected pancreatic necrosis is a severe complication of acute pancreatitis; this complication is the major cause of death. We used the ‘pipe-organ’ -like retroperitoneal drainage, which is usually used in the management of open pelvic fracture, successfully in a patient with severe infected pancreatic necrosis. This procedure can avoid gastrointestinal fistula and local bleeding without necessitating surgery.

Gastric pneumatosis and portal venous gas in superior mesenteric artery syndrome.

Superior mesenteric artery (SMA) syndrome is a condition where compression of the duodenum between the root of the SMA and the aorta results in intermittent obstruction of the third part of duodenum. Portal venous gas associated with nonischemic bowel is uncommon. We report an 81-year-old man who developed gastric pneumatosis and hepatoportal venous gas due to SMA syndrome, which healed without any sequelae.