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Severe acute pancreatitis complicated with intra-abdominal infection secondary to trauma: A case report

Yu Zhang1, Yun-Feng Cui2

  • 1Department of Surgery, Tianjin Nankai Hospital, Tianjin Medical University, Tianjin 300070, China.

World Journal of Clinical Cases
|September 9, 2024
PubMed

Insights

Pancreatic trauma (PT) is a rare injury that can lead to severe complications like acute pancreatitis (AP) and intra-abdominal infection (IAI). Early management combining conservative and surgical approaches improved patient outcomes.

Area of Science:

  • Trauma surgery
  • Gastroenterology
  • Critical care medicine

Background:

  • Pancreatic trauma (PT) is infrequent but associated with high mortality due to infectious complications.
  • Acute pancreatitis (AP) is a frequent complication of PT, worsening prognosis when sepsis or organ dysfunction is present.

Observation:

  • A 25-year-old patient sustained abdominal trauma with pancreatic injury.
  • Necrotizing pancreatitis and intra-abdominal infection (IAI) developed secondary to an emergency cesarean section.
  • The patient underwent percutaneous drainage and debridement of necrotic pancreatic and abdominal infection foci.

Findings:

  • The case highlights severe acute pancreatitis (AP) and intra-abdominal infection (IAI) following trauma.
  • A combined therapeutic strategy including antibiotics, fluid support, and surgical intervention was employed.

Implications:

  • This case demonstrates the successful management of complex pancreatic trauma complications.
  • Multimodal treatment, integrating conservative and surgical methods, can lead to favorable outcomes in severe PT with AP and IAI.
Abstract

Keywords:
Abdominal traumaCase reportIntra-abdominal infectionManagementPancreatic traumaSevere acute pancreatitis

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