A CASE OF SEVERE ACUTE NECROTIZING PANCREATITIS THAT NECESSITATED PANCREATECTOMY AND OPEN DRAINAGE
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概要
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This is a report of acute necrotizing pancreatitis, which was successfully treated with pancreatectomy and open drainage. A 38-year-old male was admitted because of severe abdominal pain. The patient, a heavy drinker, had elevated serum pancreatic enzymes as well as leucocytosis, thrombocytopenia, and hepato-renal dysfunction, and diagnosed to have acute pancreatitis. Soon after admission his general condition deteriorated and emergency operation was performed. Operation revealed an almost entire necrosis of the pancreatic body and tail. Resection of the distal pancreas and splenectomy were performed. <BR>In order to promote postoperative drainage, the abdominal wound was kept unclosed, which is the so-called open drainage. Postoperatively general therapies for the pancreatitis, treatment of DIC, plasma exchange and respiratory care were carried out. <BR>Peritoneal irrigation was performed repeatedly. Two months thereafter, his abdominal wound was covered with good granulation. He was discharged six and half months after admission. The patient was readmitted three and a half months later, because of slight abdominal pain following alcohl intake, but he recovered immediately. The condition of the remaining pancreas as surveyed by endoscopic retrograde pancreatography was essentialy normal, The wound after open drainage was almost completely healed where the cicartrization was observed. <BR>In summary, pancreatic resection and open drainage seem to be justified so far as this patient is concerned.
- 日本臨床外科学会の論文
日本臨床外科学会 | 論文
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