Tong KN, Zhang WT, Liu K, Xu R, Guo W. Emergency pancreaticoduodenectomy for pancreatitis-associated necrotic perforation of the distal stomach and full-length duodenum: A case report.
World J Gastrointest Surg 2024;
16:3590-3597. [PMID:
39649195 PMCID:
PMC11622074 DOI:
10.4240/wjgs.v16.i11.3590]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/17/2024] [Revised: 09/10/2024] [Accepted: 09/12/2024] [Indexed: 10/30/2024] Open
Abstract
BACKGROUND
Non-ulcerative necrosis of the stomach and duodenum is rare because of the abundant blood supply in the gastrointestinal tract. Duodenal necrosis is a rare complication of severe acute pancreatitis. Emergency pancreaticoduodenectomy (EPD) is a rare procedure, with extensive duodenal necrosis being one of its indications.
CASE SUMMARY
We here report the case of a 57-year-old man who survived EPD for pancreatitis, which resulted in the necrosis of the distal stomach, full-length duodenum, and part of the jejunum.
CONCLUSION
Despite significant surgical risks, an EPD could be a life-saving procedure in severe cases of pancreatitis.
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