Successful percutaneous drainage with iodine irrigation for pancreatic fistulas and abscesses after necrotizing pancreatitis
Medical Principles and Practice. 2012; 21 (4): 398-400
in English
| IMEMR
| ID: emr-124875
ABSTRACT
To report an uncommon method of managing pancreatic fistulas and retroperitoneal abscess. A 50-year-old man was admitted with fever, abdominal pain, periumbilical fistula and pus in stool. Five months before admission, he underwent urgent necrosectomy [7 days after onset of pain] and subsequently two more surgeries for necrotizing pancreatitis. Ultrasound revealed fluid collection in the retropancreatic space. After evacuation of pus, contrast medium instilled through a catheter showed a retroperitoneal abscess cavity, retroperitoneal-periumbilical and retroperitoneal-sigmoidal fistulas. After percutaneous drainage and iodine irrigation, the abscess collection and fistulas disappeared. In this case, percutaneous drainage was a successful option in the management of pancreatic fistulas and a retroperitoneal abscess
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Index:
IMEMR (Eastern Mediterranean)
Main subject:
Drainage
/
Pancreatitis, Acute Necrotizing
/
Abscess
/
Iodine
Type of study:
Case report
Limits:
Humans
/
Male
Language:
English
Journal:
Med. Princ. Pract.
Year:
2012
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