RESUMO
La pancreatitis aguda (PA) se asocia con una frecuencia variable al desarrollo de complicaciones locales: colecciones, necrosis, seudoquistes y abscesos abdominales. Aunque el desarrollo de abscesos hepáticos se ha relacionado con la obstrucción de la vía biliar o cirugía abdominal en pacientes con pancreatitis crónica, son escasas las descripciones de abscesos hepáticos asociados a un episodio de PA. A continuación se presenta el caso de un varón de 45 años con un primer episodio de PA grave de etiología alcohólica, complicada con trombosis de la rama portal derecha, absceso intrahepático y fístula biliar, así como el abordaje y el tratamiento realizados (AU)
Acute pancreatitis is frequently associated with the development of local complications: collections, necrosis, pseudocysts and abdominal abscesses. Although the development of liver abscesses has been linked to bile duct obstruction or abdominal surgery in patients with chronic pancreatitis, there are few descriptions of liver abscesses associated with an episode of acute pancreatitis. We report the case of a 45-year-old man with a first episode of severe acute alcoholic pancreatitis, complicated with thrombosis of the right portal branch, liver abscess and intrahepatic biliary fistula. The approach and treatment are described (AU)
Assuntos
Humanos , Masculino , Pessoa de Meia-Idade , Abscesso Hepático/complicações , Fístula Biliar/complicações , Pancreatite Necrosante Aguda/complicações , Trombose Venosa/complicações , Veia PortaRESUMO
Acute pancreatitis is frequently associated with the development of local complications: collections, necrosis, pseudocysts and abdominal abscesses. Although the development of liver abscesses has been linked to bile duct obstruction or abdominal surgery in patients with chronic pancreatitis, there are few descriptions of liver abscesses associated with an episode of acute pancreatitis. We report the case of a 45-year-old man with a first episode of severe acute alcoholic pancreatitis, complicated with thrombosis of the right portal branch, liver abscess and intrahepatic biliary fistula. The approach and treatment are described.
