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Severe acute pancreatitis of gallblader origin with sequels: pancreatic necrosis, pseudocyst and splenic vein thrombosis
dc.contributor.author | Mochón Benguigui, Sol | |
dc.contributor.author | Navarro Freire, Francisco | |
dc.date.accessioned | 2021-06-23T08:24:39Z | |
dc.date.available | 2021-06-23T08:24:39Z | |
dc.date.issued | 2016 | |
dc.identifier.citation | Mochón Benguigui, Sol; Navarro Freire, Francisco. Severe acute pancreatitis of gallblader origin with sequels: pancreatic necrosis, pseudocyst and splenic vein thrombosis. AMU. 2016; 4: 37-41 | es_ES |
dc.identifier.issn | 2341-0361 | |
dc.identifier.uri | http://hdl.handle.net/10481/69347 | |
dc.description.abstract | 40 year old male with ulcerative gastritis, cholelithiasis and severe acute pancreatitis with long-term hospital stay, requiring tracheal intubation and tracheotomy. Chyloperitoneum, cholelithiasis and pancreatic pseudocyst with a 90% necrosis without active bleeding were found during surgery. Cholecistectomy, washing and intracavitary necrosectomy, stitching of the small vascular intracystic stump, Roux-en-Y cystojejunostomy, draining of the chyloperitoneum and of the cavity were performed. Chylous ascites persisted and was treated with octeotride, diuretics and fat-free diet supplemented with medium-chain trigliyerides, proteins and vitamins. However, sequels remained including: recurrent acute pancreatitis, splenic vein thrombosis and left portal hypertension. As the patient was not diabetic and the platelet count was 140000 cells/mm3 splenectomy or expectant monitoring were posed as possible choices. The interest of the case is rooted in the diagnosis, treatment and evolution of the chylous ascites, 90% pancreatic necrosis, pseudocyst and splenic vein thrombosis, as well as the repeated admissions. | es_ES |
dc.language.iso | eng | es_ES |
dc.publisher | Archivos de Medicina Universitaria | es_ES |
dc.rights | Atribución-NoComercial-SinDerivadas 3.0 España | * |
dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/3.0/es/ | * |
dc.subject | Severe acute pancreatitis | es_ES |
dc.subject | Chylous ascites | es_ES |
dc.subject | Pancreatic pseudocyst | es_ES |
dc.subject | Left portal hypertension | es_ES |
dc.subject | Surgery | es_ES |
dc.subject | Pancreatitis aguda grave | es_ES |
dc.subject | Ascitis quilosa | es_ES |
dc.subject | Pseudoquiste pancreático | es_ES |
dc.subject | Hipertensión portal izquierda | es_ES |
dc.subject | Cirugía | es_ES |
dc.title | Severe acute pancreatitis of gallblader origin with sequels: pancreatic necrosis, pseudocyst and splenic vein thrombosis | es_ES |
dc.title.alternative | Pancreatitis aguda grave de origen biliar con secuelas: necrosis pancreática, pseudoquiste y trombosis de la vena esplénica | es_ES |
dc.type | journal article | es_ES |
dc.rights.accessRights | open access | es_ES |