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Author Spotlight: Advancements in Retroperitoneal Approach for Necrotizing Pancreatitis
Published on: March 15, 2024
Intrathoracic Herniated and Infected Pancreatic Pseudocyst
Marcel Wehmann1, Martin Freesmeyer, Robert Drescher
1Department of Nuclear Medicine, Clinic of Nuclear Medicine of the Jena University Hospital, Jena, Germany.
Abstract:
A 40-year-old man was admitted with acute diarrhoea, 3 kg weight loss, and mild fever (up to 38 °C). His medical history included acute necrotising pancreatitis and an axial hiatal hernia. Laboratory tests showed elevated inflammation parameters (C-reactive protein of 188 mg/L). A 18 F-FDG-PET/CT scan revealed infected abdominal pancreatic pseudocysts extending to the thoracic region due to the hiatal hernia. Endosonography and transgastric drainage removed 200 mL of pus. Klebsiella pneumoniae was identified, and antibiotic therapy with ampicillin and sulbactam was started. A follow-up ultrasound showed significant cyst regression. The patient was discharged in a satisfactory condition with reduced inflammation.
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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...
Acute Pancreatitis II: Clinical Manifestations and Management
Acute Pancreatitis I: Introduction
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:
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Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.

