Severe Necrotizing Acute Pancreatitis: Does Percutaneous Drainage Save Lives?

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Cristian A. Guzmán
Departamento de Radiología Intervencionista, Clínica IMAT Oncomédica AUNA. Colombia
Marco J. Quintero
Departamento de Cirugía Hepatobiliar, Clínica IMAT Oncomédica AUNA. Colombia
Johan S. Prada
Departamento de Unidad de Cuidados Intensivos, Clínica IMAT Oncomédica AUNA. Colombia
Mara J. García
Departamento de Infectología, Clínica IMAT Oncomédica AUNA. Colombia

Abstract

Acute pancreatitis is an inflammation of the pancreas that destroys acinar cells. Its incidence has increased globally, primarily due to biliary lithiasis and alcoholism. This report describes a 58-yearold man with a history of alcoholism who developed acute pancreatitis after consuming fatty foods and alcohol. Initially managed conservatively, he developed complications requiring admission to the ICU. Computed tomography (CT) revealed multiple necrotic collections, managed by CT-guided percutaneous drainage. After five weeks, the patient showed significant improvement, allowing removal of the catheters and discharge with outpatient follow-up. This case highlights the “Step-Up Approach”, favoring minimally invasive techniques like percutaneous drainage over open necrosectomy in severe necrotizing pancreatitis, improving survival and reducing complications. Multidisciplinary management is essential to optimize clinical outcomes. 

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Published: 2025-03-26
DOI: https://doi.org/10.51987/rev.hosp.ital.b.aires.v45i1.364
Keywords:
Pancreatitis, Collections, Percutaneous drainage, Necrosectomy, Infection

Article Details

Issue

Vol. 45 No. 1 (2025): Revista del Hospital Italiano de Buenos Aires

Section

Clinical case
Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

How to Cite

1.
Guzmán CA, Quintero MJ, Prada JS, García MJ. Severe Necrotizing Acute Pancreatitis: Does Percutaneous Drainage Save Lives? Rev Hosp Ital B.Aires [Internet]. 2025 Mar. 26 [cited 2026 Jul. 31];45(1):e0000364. Available from: https://ojs.hospitalitaliano.org.ar/index.php/revistahi/article/view/364

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