Interval Open Necrosectomy: Case Report

Authors

  • Laura Daniela Caridad Carrillo-Pinto General Surgery Resident, Clínica Hospital Mérida ISSSTE. Calle 21 Comisaría de Susulá, Mérida, Yucatán, México PC 97314
  • Raúl Alfonso Vidales-López General Surgeon, Clínica Hospital Mérida ISSSTE. Calle 21 Comisaría de Susulá, Mérida, Yucatán, México PC 97314
  • Alejandro Alberto Flores-López Clínica Hospital Mérida ISSSTE. Calle 21 Comisaría de Susulá, Mérida, Yucatán, México PC 97314
  • Alicia Valeria Espinosa-Rosales General Surgery Resident, Clínica Hospital Mérida ISSSTE. Calle 21 Comisaría de Susulá, Mérida, Yucatán, México PC 97314
  • Luis Arturo Falcón-Cancino General Surgery Resident Clínica Hospital Mérida ISSSTE. Calle 21 Comisaría de Susulá, Mérida, Yucatán, México PC 97314

DOI:

https://doi.org/10.14738/bjhmr.102.14286

Keywords:

acute necrotizing pancreatitis, open necrosectomy, case report, interval, covid

Abstract

Background:  Acute pancreatitis is caused by intrapancreatic enzymatic activation, this leads to inflammation and destruction of the pancreas, most patients have a mild edematous course with low mortality, infection of the necrotized pancreas is usually associated with a severe course and higher mortality.  Clinical case: We present the case of a 47-year-old male presenting with acute necrotizing pancreatitis complicated with infection without organ failure. The purpose of this article is to present the role of open necrosectomy in the management and review of literature. Discussion: The main indication for drainage and debridement in necrotizing pancreatitis is the presence of infection or clinical deterioration in case sterile necrosis and should be postponed optimally > 4 weeks into the course of the disease for adequate limitation of the necrosis and improved physiological condition. Conclusion: While a step-up minimally invasive approach is recommended to open necrosectomy, this is not always possible; open necrosectomy still is a valid alternative for the management of the disease.

References

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Husu, H.L., Kuronen, J.A., Leppäniemi, A.K. et al. Open necrosectomy in acute pancreatitis–obsolete or still useful? World J Emerg Surg 15, 21 (2020). https://doi.org/10.1186/s13017-020-00300-9 162

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Published

2023-03-30 — Updated on 2023-04-04

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How to Cite

Carrillo-Pinto, L. D. C., Vidales-López, R. A., Flores-López, A. A., Espinosa-Rosales, A. V., & Falcón-Cancino, L. A. (2023). Interval Open Necrosectomy: Case Report. British Journal of Healthcare and Medical Research, 10(2), 157–162. https://doi.org/10.14738/bjhmr.102.14286 (Original work published March 30, 2023)

Issue

Vol. 10 No. 2 (2023): British Journal of Healthcare and Medical Research

Section

Original Articles

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Copyright (c) 2023 Carrillo-Pinto Laura Daniela Caridad, Vidales-López Raúl Alfonso, Flores-López Alejandro Alberto, Espinosa-Rosales Alicia Valeria, Falcón-Cancino Luis Arturo

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This work is licensed under a Creative Commons Attribution 4.0 International License.

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