WON transgastric percutaneous drainage complicated in a pediatric patient

Authors

DOI:

https://doi.org/10.21615/cesmedicina.5443

Keywords:

acute necrotizing pancreatitis, minimally invasive surgical procedures, pancreatic pseudocyst, pancreatic fistula, wall off necrosis

Abstract

The complications of acute pancreatitis are divided into systemic and local such as acute pancreatic fluid collections, acute necrotic collection, pseudocyst and pancreatic walled necrosis. The case of a nine-year-old girl with idiopathic severe acute pancreatitis who developed a pancreatic walled necrosis of 75 x 45mm is reported. Due to the persistence of abdominal pain and intolerance to the oral route, despite medical treatment, a trans gastric percutaneous approach was indicated for the treatment of pancreatic walled necrosis. Technical and therapeutic success was obtained through the drainage of the collection, allowing to start the oral route and decreasing the analgesia requirements. The patient evolved satisfactorily, with surgical discharge after 13 days and removal of the catheter after 30 days. After 4 months of follow-up, a recurrent asymptomatic collection was evidenced, being handled in a conservative manner. The above mentioned allows considering that the trans-gastric percutaneous approach is a safe and effective technique; however, evaluating the effectiveness and morbimortality in pediatric population requires other studies that make possible to reach conclusions that generate more scientific evidence.

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Author Biographies

Carlos Maximiliano Priarone, Universidad del Cauca

Médico, especialista en Cirugía General y Percutánea, profesor Universidad del Cauca, Popayán, Colombia. 

Maria Virginia Pinzon Fernandez, Universidad del Cauca

PhD, MPH. Profesora titular, Departamento de Medicina Interna, Universidad del Cauca, Popayán, Colombia. 

Valentina Patiño-Perez, Universidad del Cauca

Estudiante de Medicina, Universidad del Cauca, Popayán, Colombia. 

Margarita María Benavidez-Ruiz, Pontificia Universidad Javeriana

Médico general, Pontificia Universidad Javeriana, Bogotá, Colombia. 

Randol Karami Silva Bermudez, Universidad del Cauca

Estudiante de Medicina, Universidad del Cauca, Popayán, Colombia. 

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Portada Revista Ces Medicina 35(3) 2021

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Published

2021-10-29

How to Cite

Priarone, C. M., Pinzon Fernandez, M. V., Patiño-Perez, V., Benavidez-Ruiz, M. M., & Silva Bermudez, R. K. (2021). WON transgastric percutaneous drainage complicated in a pediatric patient. CES Medicina, 35(3), 316–324. https://doi.org/10.21615/cesmedicina.5443

Issue

Vol. 35 No. 3 (2021): CES Medicina

Section

Reporte de caso

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