Severe acute pancreatitis complicated with intra-abdominal infection secondary to trauma:A case report  

作　　者：Yu Zhang Yun-Feng Cui 

机构地区：[1]Department of Surgery,Tianjin Nankai Hospital,Tianjin Medical University,Tianjin 300070,China [2]Department of Hepatobiliary and Pancreatic Surgery,Department of Surgery,Tianjin Nankai Hospital,Nankai Clinical School of Medicine,Tianjin Medical University,Tianjin 300100,China

出　　处：《World Journal of Clinical Cases》2024年第25期5821-5831,共11页世界临床病例杂志

基　　金：Supported by China Medical and Health Development Foundation,Young and Middle-aged Doctors Excellent Talent,Pei Ying Program,No.BJ2023YCPYJH003;Tianjin Nankai Hospital integrated Traditional Chinese and Western Medicine Prevention and Treatment Key Technology and Program Optimization 2022 Key Project,No.NKYY-IIT-2022-009-2;Tianjin Key Areas of Traditional Chinese Medicine Science and Technology Project,No.2022005;Tianjin Natural Science Foundation Key Project;Tianjin Administration of Traditional Chinese Medicine Fund of Traditional Chinese and Western Medicine Integrated Research Project,No.2021006;Tianjin 131 Innovative Talent Team,Innovation Team for Diagnosis and Treatment of Acute Abdomen Related to Biliary and Pancreatic Diseases,No.201938.

摘　　要：BACKGROUND Pancreatic trauma(PT)is rare among traumatic injuries and has a low incidence,but it can still lead to severe infectious complications,resulting in a high mortality rate.Acute pancreatitis(AP)is a common complication after PT,and when combined with organ dysfunction and sepsis,it will result in a poorer prognosis.CASE SUMMARY We report a 25-year-old patient with multiple organ injuries,including the pancreas,due to abdominal trauma,who developed necrotising pancreatitis secondary to emergency caesarean section,combined with intra-abdominal infection(IAI).The patient underwent performed percutaneous drainage,pancreatic necrotic tissue debridement,and abdominal infection foci debridement on the patient.CONCLUSION We report a case of severe AP and IAI secondary to trauma.This patient was managed by a combination of conservative treatment such as antibiotic therapy and fluid support with surgery,and a better outcome was obtained.

关 键 词：Abdominal trauma Pancreatic trauma Severe acute pancreatitis MANAGEMENT Intra-abdominal infection Case report 

分 类 号：R576[医药卫生—消化系统]