Late hemorrhagic complication of pancreonecrosis

Abstract

There is a case report of two years medical history from the moment of acute pancreonecrosis to reconstructive operation (pancreatodigestive anastomosis) of the patient 56 years old. We showed the ability to use criteria about the depth and configuration of pancreatic necrosis in acute pancreatitis to prognose late complications. Underestimation of deep parenchymal necrosis in the pancreatic neck and body, high -amylase activity for diagnosis of disconnected pancreatic duct syndrome, unjustified drainage removal in external pancreatic fistula led to pseudocyst formation. Pseudocyst progression, erosion of mesenteric vessel with bleeding into the cyst cavity with its subsequent rupture and intra-abdominal bleeding 1 developed a year after acute pancreatitis. The need to perform intervention was the reason why reconstructive operation was delayed for a long time.