A case report of multidisciplinary diagnosis and treatment of severe acute pancreatitis with severe abdominal infection and biliary stricture
10.7659/j.issn.1005-6947.2024.09.020
- VernacularTitle:重症急性胰腺炎伴严重腹腔感染、胆道狭窄多学科诊治1例报告
- Author:
Jiawen WU
1
;
Rui KONG
;
Jisheng HU
;
Yan LUO
;
Jiachen SHI
;
Yuncheng HAN
;
Bei SUN
Author Information
1. 哈尔滨医科大学附属第一医院胰胆外科,黑龙江哈尔滨 150001
- Keywords:
Pancreatitis;
Intraabdominal Infections;
Intestinal Fistula;
Cholangitis
- From:
Chinese Journal of General Surgery
2024;33(9):1529-1535
- CountryChina
- Language:Chinese
-
Abstract:
Severe acute pancreatitis(SAP)is a critical condition in general surgery settings,characterized by high mortality and poor prognosis.On February 28,2024,the Department of Hepatobiliary Surgery at the First Affiliated Hospital of Harbin Medical University admitted a 36-year-old male patient.The patient presented with"upper abdominal pain accompanied by fever for three months and jaundice of the skin and sclera for one week."Physical examination revealed 11 puncture tubes,and a palpable mass measuring 3 cm × 5 cm in the upper abdomen.Enhanced CT and magnetic resonance cholangiopancreatography indicated acute pancreatitis.The patient was diagnosed with"SAP,infectious pancreatic necrosis,and biliary stenosis."He had severe abdominal infection and complex postoperative complications,making treatment challenging.Consequently,a multidisciplinary team(MDT)consultation was initiated.After three rounds of MDT consulfation and freating,the patient ultimately recovered successfully and was discharged.This article reviews the MDT treatment process for this patient and summarizes the characteristics of this condition based on relevant literature to provide insights and experience for clinical practice.
