Alcoholic severe acute pancreatitis with positive culture of pancreatic juice treated by nasopancreatic drainage.
Pancreatology
; 14(3): 151-3, 2014.
Article
em En
| MEDLINE
| ID: mdl-24854608
ABSTRACT
BACKGROUND:
Severe acute pancreatitis (SAP) is a serious disease associated with alcoholism and has a high mortality rate. Effective treatments have not been established.METHODS:
A 58-year-old man was admitted due to alcoholic SAP. Endoscopic retrograde cholangiopancreatography revealed pancreatic calculi at the pancreas head and a stricture in the pancreatic duct from the pancreas head to the body. Endoscopically, nasopancreatic drainage (NPD) was placed through the minor papilla to the pancreas tail beyond the stricture.RESULTS:
Pancreatic juice culture was positive for Streptococcus and Enterobacter. The day after NPD, upper abdominal pain was relieved. After changing NPD to a pancreatic stent, the patient was discharged on day 21 post-NPD.CONCLUSION:
Alcoholic SAP may reflect aggravation of chronic pancreatitis. The possibility of acute bacterial inflammation should be considered in all cases of chronic alcoholic pancreatitis who present with severe features of inflammation, even in the early stages of an attack. Treatment of this subset of cases by drainage could be of great importance and NPD may be the preferred method.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Suco Pancreático
/
Infecções Estreptocócicas
/
Drenagem
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Enterobacter cloacae
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Pancreatite Alcoólica
/
Infecções por Enterobacteriaceae
Tipo de estudo:
Diagnostic_studies
Limite:
Humans
/
Male
/
Middle aged
Idioma:
En
Ano de publicação:
2014
Tipo de documento:
Article