Endoscopic Management of Giant Walled-Off Pancreatic Necrosis With a High Risk of Bleeding

Walled-off pancreatic necrosis (WOPN) is one of the late complications of acute pancreatitis. We present a 37-year-old man who developed a large WOPN 6 weeks after treatment of severe complicated pancreatitis. Imaging studies revealed a necrotic retroperitoneal fluid collection measuring 27 × 12 × 2...

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Detalles Bibliográficos
Autores principales: Alhasan, Faysal, Hoilat, Gilles Jadd, Malas, Waddah, Mahmood, Syed K., Zivny, Jaroslav, Alsayid, Muhammad
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer 2019
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6791649/
https://www.ncbi.nlm.nih.gov/pubmed/31737728
http://dx.doi.org/10.14309/crj.0000000000000199
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author Alhasan, Faysal
Hoilat, Gilles Jadd
Malas, Waddah
Mahmood, Syed K.
Zivny, Jaroslav
Alsayid, Muhammad
author_facet Alhasan, Faysal
Hoilat, Gilles Jadd
Malas, Waddah
Mahmood, Syed K.
Zivny, Jaroslav
Alsayid, Muhammad
author_sort Alhasan, Faysal
collection PubMed
description Walled-off pancreatic necrosis (WOPN) is one of the late complications of acute pancreatitis. We present a 37-year-old man who developed a large WOPN 6 weeks after treatment of severe complicated pancreatitis. Imaging studies revealed a necrotic retroperitoneal fluid collection measuring 27 × 12 × 27 cm with large crossing blood vessels. Cystogastrostomy was performed using a lumen-apposing metal stent. He underwent multiple necrosectomies with significant improvement in the cyst size. Bleeding is a major complication of direct endoscopic necrosectomy; hence, specific imaging and a careful approach should be taken into consideration, especially in WOPN with a high risk of bleeding.
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spelling pubmed-67916492019-11-15 Endoscopic Management of Giant Walled-Off Pancreatic Necrosis With a High Risk of Bleeding Alhasan, Faysal Hoilat, Gilles Jadd Malas, Waddah Mahmood, Syed K. Zivny, Jaroslav Alsayid, Muhammad ACG Case Rep J Case Report Walled-off pancreatic necrosis (WOPN) is one of the late complications of acute pancreatitis. We present a 37-year-old man who developed a large WOPN 6 weeks after treatment of severe complicated pancreatitis. Imaging studies revealed a necrotic retroperitoneal fluid collection measuring 27 × 12 × 27 cm with large crossing blood vessels. Cystogastrostomy was performed using a lumen-apposing metal stent. He underwent multiple necrosectomies with significant improvement in the cyst size. Bleeding is a major complication of direct endoscopic necrosectomy; hence, specific imaging and a careful approach should be taken into consideration, especially in WOPN with a high risk of bleeding. Wolters Kluwer 2019-08-29 /pmc/articles/PMC6791649/ /pubmed/31737728 http://dx.doi.org/10.14309/crj.0000000000000199 Text en © 2019 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of The American College of Gastroenterology. This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND) (http://creativecommons.org/licenses/by-nc-nd/4.0/) , where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.
spellingShingle Case Report
Alhasan, Faysal
Hoilat, Gilles Jadd
Malas, Waddah
Mahmood, Syed K.
Zivny, Jaroslav
Alsayid, Muhammad
Endoscopic Management of Giant Walled-Off Pancreatic Necrosis With a High Risk of Bleeding
title Endoscopic Management of Giant Walled-Off Pancreatic Necrosis With a High Risk of Bleeding
title_full Endoscopic Management of Giant Walled-Off Pancreatic Necrosis With a High Risk of Bleeding
title_fullStr Endoscopic Management of Giant Walled-Off Pancreatic Necrosis With a High Risk of Bleeding
title_full_unstemmed Endoscopic Management of Giant Walled-Off Pancreatic Necrosis With a High Risk of Bleeding
title_short Endoscopic Management of Giant Walled-Off Pancreatic Necrosis With a High Risk of Bleeding
title_sort endoscopic management of giant walled-off pancreatic necrosis with a high risk of bleeding
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6791649/
https://www.ncbi.nlm.nih.gov/pubmed/31737728
http://dx.doi.org/10.14309/crj.0000000000000199
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