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- W2895036419 abstract "Background: Colorectal complications including penetration and perforation in acute pancreatitis often become severe and fatal. Effective drainage is pivotal for successful treatment. We present a case of large retroperitoneal abscess with colonic necrotizing perforation due to severe acute pancreatitis treated with video-assisted retroperitoneal debridement (VARD) using a step-up approach. Case presentation: A 31-year-old man was admitted to a general hospital with a diagnosis of severe acute pancreatitis due to fallen gallstones. At 10 days after onset, he was referred to our hospital for more intensive treatment. On day 16, he experienced melena and shock. Therefore, embolization of the three straight arteries of the descending colon was performed. On day 30, because computed tomography showed retroperitoneal abscess, percutaneous drainage using the retroperitoneal route was performed. On day 36, ileostomy was performed because the appearance of drained pus from the retroperitoneal abscess became feces-like. On day 58, VARD was performed to treat the refractory retroperitoneal abscess causing highly inflammatory state due to insufficient drainage. On day 85, fluoroscopic imaging showed disappearance of the abscess cavity. He was transferred to the previous hospital on day 89. Conclusions: VARD enabled less invasive treatment for patients with colonic necrotizing perforation due to severe pancreatitis." @default.
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- W2895036419 date "2018-09-01" @default.
- W2895036419 modified "2023-09-30" @default.
- W2895036419 title "Severe pancreatitis with colonic perforation successfully managed using video-assisted retroperitoneal debridement: a case report" @default.
- W2895036419 doi "https://doi.org/10.1016/j.hpb.2018.06.1919" @default.
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