Severe Acute Pancreatitis Presenting As Appendicular PerforationAn Unusual presentation
Journal Title: Journal of Medical Science And clinical Research - Year 2016, Vol 4, Issue 4
Abstract
Pancreatic & Peripancreatic fluid collection is a common complication of severe Acute Pancreatitis. But rarely it can lead to collections at remote sites in peritoneal, retroperitoneal, mediastinal or inguinoscrotal region and manifesting rare presentations. Here is a case of a non alcoholic, non diabetic male, presented with abdominal pain, localized at right iliac fossa with rebound tenderness & features of peritonism. Ultrasonography of abdomen & pelvis shows moderate pelvic collection with internal echos & probe tenderness at right iliac fossa. Patient was diagnosed as a case of Appendicular perforation. On Laparotomy the case was diagnosed as severe acute pancreatitis with secondary/ reactionary appendicitis with pancreatic ascitis, peri pancreatic & pancreatic parenchymal necrosis & pelvic retroperitoneal collection in right iliac fossa extending to the base of appendix. The patient was managed with appendicectomy, draining of pelvic & retroperitoneal pelvic collection, debridement of necrotic fissure in pelvis in right iliac fossa towards right psoas muscle, debridement of patchy necrotic tissue over small bowel mesentery. Thorough irrigation, lavage & suctioning of necrotic & slaughed area on pancreas & peripancreatic tissue had also been done.
Authors and Affiliations
Sudhansu Sekhar Sutar
Keywords
Related Articles
- EP ID EP213514
- DOI -
- Views 87
- Downloads 0
Migraine: Study of Clinical Profile in Clinical Practice
Introduction: Headache is one of the common symptoms in clinical practice with a life time prevalence of 30% in the general population. Migraine is the second most common causes of headache amongst the primary headache s...
Growth in Head Circumference from Birth to Three years in Jat-Sikh and Bania Females- A Longitudinal Study
The measure of cranial growth gives a global indication of the growth and development of the brain. The head circumference is very important measurement because it is related to intracranial volume and permits an estimat...
Comparitive Study between Laparoscopic Hernioplasty and Open Hernioplasty
Background: A comparative study between Open and Laparoscopic Hernioplasty in the Department of General Surgery at Govt. Stanley Hospital, a Government run, 200 years old, 1280 bedded, under/post graduate and super speci...
Bilateral Gonadoblastoma with Extensive Calcification in 46 XX Karyotype Female- A Rare Case Report
Gonadoblastomas are rare tumors frequently appearing in the dysgenetic gonads with Y chromosome anomaly. We reported a case of gonadoblastoma in young female of age 16 years, admitted to our hospital for evaluation of ea...
Anxiety levels in First Year MBBS Students
Medical students encounter multiple stresses and emotional challenges from their beginning to a young knowledgeable physician. As far as academic stressors are concerned, academic performance especially in the First Prof...