University Clinical Center Tuzla, Tuzla, Bosnia and Herzegovina.
Med Princ Pract. 2012;21(4):398-400. doi: 10.1159/000336594. Epub 2012 Mar 7.
To report an uncommon method of managing pancreatic fistulas and retroperitoneal abscess.
A 50-year-old man was admitted with fever, abdominal pain, periumbilical fistula and pus in stool. Five months before admission, he underwent urgent necrosectomy (7 days after onset of pain) and subsequently two more surgeries for necrotizing pancreatitis. Ultrasound revealed fluid collection in the retropancreatic space. After evacuation of pus, contrast medium instilled through a catheter showed a retroperitoneal abscess cavity, retroperitoneal-periumbilical and retroperitoneal-sigmoidal fistulas. After percutaneous drainage and iodine irrigation, the abscess collection and fistulas disappeared.
In this case, percutaneous drainage was a successful option in the management of pancreatic fistulas and a retroperitoneal abscess.
报告一种处理胰腺瘘和腹膜后脓肿的不常见方法。
一名 50 岁男性因发热、腹痛、脐周瘘管和粪便中有脓液而入院。入院前 5 个月，他因坏死性胰腺炎而行紧急坏死组织清除术（疼痛发作后 7 天），随后又进行了两次手术。超声显示胰周空间有液体积聚。经引流脓液后，通过导管注入造影剂显示出腹膜后脓肿腔、腹膜后-脐周和腹膜后-乙状结肠瘘。经皮引流和碘冲洗后，脓肿积聚和瘘管消失。
在这种情况下，经皮引流是处理胰腺瘘和腹膜后脓肿的一种成功选择。
