Necrotizing pancreatitis: computed tomography used as auxiliary diagnostic method

Authors

  • Pedro Jorge Furtado Freitas FCMS/PUC-SP
  • Gilson Davi de Lima Stevão Hospital Unimed Sorocaba
  • Mônica Oliveira Bernardo FCMS/PUC-SP

Keywords:

acute necrotizing pancreatitis, X-ray computed tomography, laparotomy

Abstract

This paper reports a case of one of the most severe forms of acute pancreatitis, the necrotizing pancreatitis. In this condition, the patient is a fine line between a good outcome and poor general condition, with high mortality. The patient was admitted to hospital with severe pain in the upper abdomen. In CT scan, signs suggestive of pancreatitis with necrosis were found, being clinically treated for seven days. After radiological maintenance of the condition, the patient underwent an exploratory laparotomy with necrosectomy and placement of drainage. Patient got good clinical thconditions and was discharged on the 17 day of hospitalization.

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Author Biographies

Pedro Jorge Furtado Freitas, FCMS/PUC-SP

Acadêmico do curso de Medicina FCMS/PUC-SP

Gilson Davi de Lima Stevão, Hospital Unimed Sorocaba

Médico cirurgião oncológico do Hospital Unimed Sorocaba

Mônica Oliveira Bernardo, FCMS/PUC-SP

Professora do Depto. de Medicina FCMS/PUC-SP. Médica Radiologista do Hospital Unimed Sorocaba

References

Refinetti RA, Martinez R. Pancreatite necro-hemorrágica: atualização e momento de operar. ABCD Arq Bras Cir Dig. 2010;23(2):122-7.

Cunha EFC, Rocha MS, Pereira FP, Blasbalg R, Baroni RH. Necrose pancreática delimitada e outros conceitos atuais na avaliação radiológica da pancreatite aguda. Radiol Bras 2014;47(3):165-75.

Silva RA, Pacheco AM, Moricz A, Campos T. Quando e como tratar as complicações na necrose pancreática infectada. ABCD Arq Bras Cir Dig. 2010;23(4):270-4.

Ralls PW, Bree RL, Glick SN, Heiken JP, Huprich JE, Levine MS, et al. Painel de Especialista em Imagem Gastrintestinal: pancreatite aguda. In: Colégio Brasileiro de Radiologia. American College of Radiology. Critérios de adequação de Imagens e Radioterapia [Internet]. São Paulo: CBR; 2005 [acesso em 20 jan. 2015]. v. 1, p. 303-7. Disponível em: http://cbr.org.br/wp-content/biblioteca-cientifica/v1/03_12.pdf

Santos JS, Elias Júnior J, Scarpelini S, Sankarankutty AK. Pancreatite aguda: atualização de conceitos e condutas. Medicina (Ribeirão Preto). 2003;36:266-82.

Bradley EL 3rd, Dexter ND. Management of severe acute pancreatitis: a surgical odyssey. Ann Surg. 2010;251(1):6-17.

Freire Filho EO, Shigueoka DC, Bekhor D, Vieira RL, Yamada AF, Freire MF, et al. Avaliação da reprodutibilidade da tomografia computadorizada no estadiamento da pancreatite aguda. Radiol Bras. 2007;40(6):383-7.

Ardengh JC, Coelho DE, Santos JS, Módena JLP, Eulalio JMR, Coelho JF. Pancreatite aguda sem etiologia aparente: a microlitíase deve ser pesquisada? Rev Col Bras Cir. 2009;36(5):449-58.

Faintuch J, Faintuch S. Nonoperative management of infected pancreatic necrosis. Clinics. 2006;61(4):287-8.

Freire Filho EO, Jesus PEM, D'ippolito G, Szejnfeld J. Tomografia computadorizada sem contraste intravenoso no abdome agudo: quando e por que usar. Radiol Bras. 2006;39(1):51-62.

Published

2015-09-22

How to Cite

1.
Freitas PJF, Stevão GD de L, Bernardo MO. Necrotizing pancreatitis: computed tomography used as auxiliary diagnostic method. Rev. Fac. Ciênc. Méd. Sorocaba [Internet]. 2015Sep.22 [cited 2024Jul.18];17(3):160-2. Available from: https://revistas.pucsp.br/index.php/RFCMS/article/view/22301

Issue

Section

Case Report