Điều trị viêm tụy cấp hoại tử ở trẻ em bằng phối hợp can thiệp nội soi – ngoại khoa: Báo cáo ca bệnh và tổng quan tài liệu

Abstract

Acute necrotizing pancreatitis is an acute pancreatitis with necrosis of the pancreatic parenchyma, release of cytokines, activation of the coagulation process, tissue ischemia that can lead to multiple organs damage leaving local complications (acute peripancreatic collection, pancreatic pseudocyst, acute necrotic collection, walled-off necrosis), vascular occlusion, systemic (infection, multiple organs failure...). Acute necrotizing pancreatitis is very rare in children but the risk of complications and mortality is very high, requiring timely diagnosis and aggressive treatment. We describe a case of a 3-year-old patient diagnosed with necrotizing pancreatitis due to anatomical abnormalities of the pancreatic duct of the dominant Santorini type. The patient with pancreatic pseudocyst complications was successfully treated with a combination of internal medicine, endoscopic intervention and surgery.