Treatment of a patient with relapsing hypertriglyceridemia-induced necrotizing pancreatitis: a case report
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Keywords

acute pancreatitis, necrotizing infected pancreatitis, hypertriglyceridemia, surgical techniques, complications

How to Cite

Susak, Y. M., Tkachenko, O. A., & Lobanova, O. M. (2017). Treatment of a patient with relapsing hypertriglyceridemia-induced necrotizing pancreatitis: a case report. Herald of Pancreatic Club, 35(2), 53-57. https://doi.org/10.33149/vkp.2017.02.09

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Abstract

This case report demonstrates a clinical treatment tactic of a 39 y.o. patient with acute necrotizing pancreatitis. The peculiarity of the disease course is its cause – hypertriglyceridemia associated with poorly managed type 2 diabetes. Within 5-year interval in 2007 and 2012 respectively, the patient suffered two attacks of severe necrotizing pancreatitis. In 2007 he had necrotizing noninfectious pancreatitis, and in 2012 – infectious necrotizing pancreatitis requiring open sequestrectomy. The patient underwent efferent therapy methods such as hemosorbtion and plasmapheresis in combination with standard treatment scheme. The post-operative period was marked by arrosive hemorrhage, subphrenic abscess, ligature fistulas and giant post-operative hernia. During all period of observation (2007 – 2017), the patient was suffering hypertriglyceridemia (blood test as of December 22, 2016 demonstrated high level of triglycerides – 21.92 mmol/L), which required the periodical plasmapheresis procedure. Despite two attacks of severe acute necrotizing pancreatitis, five years later the patient’s life quality according to SF-36 questionnaire is approaching normal.

https://doi.org/10.33149/vkp.2017.02.09
PDF (Українська)
DOCX

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