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Retroperitoneal necrosectomy using lavage circuit as a new technique in the management of pancreatic infected walled off necrosis (WON): A case report.


ABSTRACT:

Introduction

Walled off necrosis (WON) is clarified according to the revised Atlanta classification, 2013, as a late phase complication of acute necrotizing pancreatitis. Not all cases with WON need intervention but, if indicated both open approach and minimally invasive techniques were clarified. We are discussing here, a case presented to us with infected WON. We adopted the step up approach as the main line of treatment; the case was managed by percutaneous catheter drainage (PCD) followed by retroperitoneal necrosectomy using lavage circuit.

Case presentation

Diabetic male patient aged 58 year old gave to us with left hypochondrial pain accompanied with easy fatigability and poorly controlled DM. The patient had an attack of acute pancreatitis (AP) 2 months before admiss

SUBMITTER: Hegab YH 

PROVIDER: S-EPMC7819815 | biostudies-literature | 2021 Feb

REPOSITORIES: biostudies-literature