Case report of necrosectomy by secondary retroperitoneoscopy video to hypertriglyceridemic necrotizing pancreatitis
DOI:
https://doi.org/10.14409/sigme.2025.4.e0030Keywords:
Periancreatic necrosis, Minimally invasive necrosectomy, Local complication of pancreatitisAbstract
Acute pancreatitis (AP) is a frequent pathology that in severe cases carries a risk of infection of local collections. These collections are usually resolved with percutaneous drainage (not in this case). A 57-year-old male patient, hypertensive and diabetic, was referred to the hospital after a month of severe AP with infected peripancreatic necrosis. Percutaneous treatment was decided with active irrigation without resolution of complications. A step-up approach was implemented with progressive dilation of percutaneous accesses, performing retroperitoneoscopy and necrosectomy, with adjusted antibiotic therapy, achieving multimodal resolution.
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Copyright (c) 2025 Facundo Aguilar, Jairo Martinez, Luis Moulin, Lucía Villa Uria
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