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Pancreatic Walled-Off Necrosis Eroding into the Inferior Vena Cava
Anupama Ramachandran1, Sanchit Sharma2, Shalimar2
1Department of Radiodiagnosis, All India Institute of Medical Sciences, New Delhi, India.
Current Problems in Diagnostic Radiology
|March 3, 2018
Summary
Walled-off necrosis (WON), a complication of pancreatitis, can erode into systemic veins. This case report details WON eroding into the inferior vena cava, causing thrombosis, a previously undocumented event.
Area of Science:
- Gastroenterology and Hepatology
- Vascular Surgery
- Radiology
Background:
- Acute necrotizing pancreatitis can lead to walled-off necrosis (WON), a known complication.
- WON typically ruptures into the gastrointestinal tract or peritoneal cavity.
- Erosion of WON into systemic veins is an undocumented phenomenon.
Observation:
- A 63-year-old male patient presented with acute necrotizing pancreatitis.
- The patient developed walled-off necrosis (WON).
- The WON was observed to be eroding into the inferior vena cava.
Findings:
- The erosion of WON into the inferior vena cava resulted in inferior vena cava thrombosis.
- The patient also experienced other documented pancreatitis complications, including splanchnic venous thrombosis.
Implications:
- This case highlights a novel and rare complication of acute necrotizing pancreatitis.
- It expands the understanding of potential WON rupture pathways.
- This finding may influence diagnostic and management strategies for complex pancreatitis cases.
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