Encapsulated necrotic pancreatitis

• Published in: Digital diagnostics 2022-02, Vol.2 (4), p.471-480
• Main Authors: Kitavina, Svetlana I., Petrovichev, Victor S., Ermakov, Aleksandr N., Ermakov, Nikolay A., Nikitin, Igor G.
• Format: Article
• Language: English
• Subjects: case report; computed tomography; magnetic resonance imaging; mdct; mri; multispiral computed tomography; necrotic pancreatitis; pancreas; pancreatic necrosis; pancreatitis
• ISSN: 2712-8490; 2712-8962
• DOI: 10.17816/DD71156

This study presents a rare clinical case of encapsulated necrotic pancreatitis, which was a complication of acute pancreatitis that arose against the background of alimentary disorders. The aspects of the semiotics of radiation diagnostic methods in the follow-up control of these pathologies were presented. This case is notable for the manifestation of diseases upon hospital admission, as in the classical edematous form of acute pancreatitis, with a further increase in negative dynamics. This demonstrated the possible stepwise disease development, accompanied by a series of follow-up computed tomography between the clinical and morphological phases of acute pancreatitis and before the formation of pancreatic necrosis, which was complicated by sequestration of the pancreatic body with peripancreatic abscess formation. Afterward, the therapeutic paradigm was changed, and the place of the conservative approach was taken by active surgical tactics, followed by repeated manipulations and follow-up computed tomography and magnetic resonance until the improvement of the patients condition.