Colon necrosis in acute severe pancreatitis
María Lourdes Ruiz Rebollo1, María Pina Pallín2, Antonella Rizzo Rodríguez3
1Aparato Digestivo, Hospital Clínico Universitario de Valladolid, España.
Revista Espanola De Enfermedades Digestivas
|October 25, 2022
Summary
A 78-year-old woman developed severe biliary acute pancreatitis (AP). A large necrotic collection complicated her recovery, causing gastric compression and persistent symptoms.
Area of Science:
- Gastroenterology
- Medical Imaging
Background:
- Biliary acute pancreatitis (AP) is a common gastrointestinal condition requiring prompt management.
- Early management of AP involves fluid resuscitation and analgesia.
Observation:
- The patient presented with persistent abdominal pain, intestinal paresis, and fever despite initial treatment.
- Clinical deterioration necessitated further investigation.
Findings:
- A contrast-enhanced computed tomography (CECT) scan revealed a large necrotic peripancreatic collection.
- The collection caused significant gastric compression, contributing to the patient's poor clinical course.
Implications:
- Large necrotic collections in AP can lead to severe complications and prolonged recovery.
- Advanced imaging like CECT is crucial for diagnosing and characterizing complications of AP.
- Management strategies may need to be escalated for complex AP cases with significant collections.
More Related Videos
Related Concept Videos
01:27Acute Pancreatitis I: Introduction
459
Pancreatitis is inflammation of the pancreas, an organ located behind the stomach. It can be either acute or chronic.
Acute pancreatitis is characterized by rapid inflammation of the pancreas, often caused by factors like gallstone blockage or excessive alcohol consumption. Chronic pancreatitis, on the other hand, is a slow, progressive inflammation that may result from long-term alcohol abuse, obstructions in the pancreatic duct, or genetic factors.
The causes of acute pancreatitis include:
Acute pancreatitis is characterized by rapid inflammation of the pancreas, often caused by factors like gallstone blockage or excessive alcohol consumption. Chronic pancreatitis, on the other hand, is a slow, progressive inflammation that may result from long-term alcohol abuse, obstructions in the pancreatic duct, or genetic factors.
The causes of acute pancreatitis include:
459
01:30Acute Pancreatitis II: Clinical Manifestations and Management
167
Acute pancreatitis presents a complex medical emergency characterized by rapid onset inflammation of the pancreas, demanding timely diagnosis and management to prevent complications. The condition primarily manifests through severe upper abdominal pain that often radiates to the back. This pain intensifies following the consumption of fatty foods. Accompanying symptoms such as nausea, vomiting, abdominal distention, fever, dyspnea, cyanosis, and jaundice can vary in intensity but significantly...
167
01:24Chronic Pancreatitis I: Introduction
135
The pancreas, an elongated and flat gland situated behind the stomach, serves a vital function in digesting food and managing blood sugar levels.
Pancreatitis is the inflammation of the pancreas, which occurs when the immune system becomes active and causes swelling, pain, and disruptions in organ function. Pancreatitis can manifest as either an acute or chronic condition.
Acute pancreatitis arises suddenly and lasts for a brief duration, while chronic pancreatitis is a long-term affliction...
Pancreatitis is the inflammation of the pancreas, which occurs when the immune system becomes active and causes swelling, pain, and disruptions in organ function. Pancreatitis can manifest as either an acute or chronic condition.
Acute pancreatitis arises suddenly and lasts for a brief duration, while chronic pancreatitis is a long-term affliction...
135
01:16Necrosis
4.7K
Necrosis is considered as an “accidental” or unexpected form of cell death that ends in cell lysis. The first noticeable mention of “necrosis” was in 1859 when Rudolf Virchow used this term to describe advanced tissue breakdown in his compilation titled “Cell Pathology”.
Morphological Manifestations of Necrosis
Necrotic cells show different types of morphological appearance depending on the type of tissue and infection. In coagulative necrosis, cells become...
Morphological Manifestations of Necrosis
Necrotic cells show different types of morphological appearance depending on the type of tissue and infection. In coagulative necrosis, cells become...
4.7K
01:29Chronic Pancreatitis II: Collaborative Care
123
The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:
Assessment:
123
01:17Chronic Bowel Disorders: Introduction
525
Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
525