Successful endoscopic treatment of walled-off pancreatic necrosis complicated with pancreaticopleural and pancreaticocolonic fistulas

摘要

A 53-year-old man was admitted to a different medical center due to abdominal pain with nausea in December 2015. Severe acute pancreatitis of alcoholic etiology was recognized. Conservative treatment was applied. Acute necrotizing pancreatitis was discovered in imaging examinations ( ). The computed tomography severity index (CTSI) showed 8 points. Gradual liquidation and encapsulation of necrosis of the pancreatic tail and peripancreatic tissues (with no features of infection) were confirmed in subsequent imaging examinations, which were done in the next days of hospitalization. The patient was released home after 3 weeks of hospitalization.