[A case of chronic recurrent pancreatitis with multiple severe complications]

A case of a man 33 years of age with severe hemorrhagic-necrotic chronic recurrent alcoholic pancreatitis is reported. The diagnosis was confirmed by clinical, laboratory-biochemical and ultrasound examinations. The last recurrence of the disease was marked by two cysts in the left hypochondrium proved by ultrasound examination. The laparoscopy revealed two very large pseudocysts filled with hemorrhagic liquid originating from the pancreas. In spite of the active postoperative treatment the patient died of severe hemorrhage--manifested by hematemesis, melaena and hemorrhagic shock. The postmortem examination revealed severe hemorrhagic-necrotic pancreatitis with sequestrations, pancreatic lithiasis and 3 large cysts in the abdomen: of the omentum, subhepatic and in the left hypochondrium as well as a perforated ventricular ulcer.