“Necrosis pancreática sobreinfectada secundaria a pancreatitis aguda reagudizada”

Abstract

Acute pancreatitis is a disease that can range from a mild illness with spontaneous and lasting a few days to a serious condition that warrants intensive care and sometimes different interventions remission. The difference between these two entities lies in the degree of hemodynamic compromise.

This case is a female patient, 50 years old, married, catholic, born and living in Ambato, complete primary education, housework occupation, blood type unknown, with personal medical history of pre-eclampsia 25 years ago, and medical history relatives of deceased father with Gastric Ulcer and mother with Alzheimer.

Attends the Provincial Teaching Hospital Ambato because of abdominal pain, about 2 days actual date and apparent crampy intensive ago, located in epigastrium, radiating towards lumbar region, accompanied by sickness that comes to vomit 2 occasions content greenish-yellowish moderate, generalized asthenia, entering with a diagnosis of acute pancreatitis, for which receives drug treatment in hospitals, through this table refers, gave the symptoms and patient is discharged.

Two months later patient comes with similar to the previous picture, added that reaches nausea vomiting for 15 days, sparkling green color and thermal rise unquantified, so it is hospitalized again for the respective examinations and treatment.

The first finding Pancreatic Pseudocyst reports and diffuse inflammatory changes in the peripancreatic fat tissue. The following simple and contrasted abdominal CT reports pancreatitis with necrosis, so it was decided to place a drainage catheter, in the Upper endoscopy presents Duodenal Ulcer and Esophagitis.