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A Rare Cause of Abdominal Pain in a Patient with Acute Necrotizing Pancreatitis.

dc.contributor.authorBranco, C
dc.contributor.authorCardoso, M
dc.contributor.authorLourenço, C
dc.contributor.authorSantos, L
dc.contributor.authorHorta, V
dc.contributor.authorCoimbra, E
dc.contributor.authorReis, J
dc.date.accessioned2018-11-19T16:59:03Z
dc.date.available2018-11-19T16:59:03Z
dc.date.issued2018
dc.description.abstractINTRODUCTION: Walled-off necrosis (WON) is a potentially lethal late complication of acute pancreatitis (AP) and occurs in less than 10% of AP cases. It can be located in or outside the pancreas. When infected, the mortality rate increases and can reach 100% if the collection is not drained. Its treatment is complex and includes, at the beginning, intravenous antibiotics, which permit sepsis control and a delay in the therapeutic intervention, like drainage. Nowadays, a minimally invasive approach is advised. Depending on the location of the collection, computed tomography (CT)-guided drainage or endoscopic necrosectomy are the primary options, then complemented by surgical necrosectomy if needed. Infected WON of the abdominal wall has been rarely described in the literature and there is no report of any infection with Citrobacter freundii. CASE: We present the case of a 61-year-old man with necrotizing AP complicated by WON of the left abdominal wall, infected with Citrobacter freundii that was successfully treated with CT-guided percutaneous drainage and intravenous antibiotics. CONCLUSION: Infected WON accounts for considerable mortality and its location in the abdominal wall is rare; it can be treated with antibiotics and CT-guided drainage with no need for further intervention.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationGE Port J Gastroenterol. 2018 Sep;25(5):253-257pt_PT
dc.identifier.doi10.1159/000484939.pt_PT
dc.identifier.issn2387-1954
dc.identifier.urihttp://hdl.handle.net/10400.10/2054
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherSociedade Portuguesa de Gastrenterologiapt_PT
dc.relation.publisherversionhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6167699/pdf/pjg-0025-0253.pdfpt_PT
dc.subjectAbdominal painpt_PT
dc.subjectPancreatitispt_PT
dc.subjectDrainagept_PT
dc.titleA Rare Cause of Abdominal Pain in a Patient with Acute Necrotizing Pancreatitis.pt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.conferencePlaceLisboapt_PT
oaire.citation.endPage257pt_PT
oaire.citation.startPage253pt_PT
oaire.citation.titleGE Jornal portugues gastroenterologiapt_PT
oaire.citation.volume25pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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