TY - JOUR
T1 - A case of severe acute pancreatitis in a child who received continuous arterial infusion of protease inhibitor and antibiotics followed by open abscess drainage through the retroperitoneal route
AU - Sakata, Naoaki
AU - Shibuya, Kazuhiko
AU - Abe, Tadayosi
AU - Mikami, Yukio
AU - Motoi, Fuyuhiko
AU - Yamauchi, Junichiro
AU - Sunamura, Makoto
AU - Takeda, Kazunori
AU - Matsuno, Seiki
PY - 2002
Y1 - 2002
N2 - We report a case of severe acute pancreatitis in a 9-year-old boy. In 1998, the patient had pneumonia and received antibiotics for 2 weeks. One day after discharge, he suffered severe abdominal pain, and high serum amylase and hypoperfusion of the whole pancreas were observed. We undertook continuous infusion of protease inhibitor and antibiotics from the celiac artery in intensive care and he recovered. Seven weeks after initial onset, however, he suffered a high fever. Abdominal computed tomography (CT) showed a low-density area around the pancreatic body to the splenic hilum. Fine-needle aspiration confirmed bacterial infection by methicillin-resistant S. aureus (MRSA), for which we conducted debridement and open retroperitoneal abscess drainage. Case reports of severe acute pancreatitis in a child are few. Continuous arterial infusion of protease inhibitor and antibiotics appear to be effective for children and adults. The abscess was drained retroperitoneally for the retroperitoneal abscess.
AB - We report a case of severe acute pancreatitis in a 9-year-old boy. In 1998, the patient had pneumonia and received antibiotics for 2 weeks. One day after discharge, he suffered severe abdominal pain, and high serum amylase and hypoperfusion of the whole pancreas were observed. We undertook continuous infusion of protease inhibitor and antibiotics from the celiac artery in intensive care and he recovered. Seven weeks after initial onset, however, he suffered a high fever. Abdominal computed tomography (CT) showed a low-density area around the pancreatic body to the splenic hilum. Fine-needle aspiration confirmed bacterial infection by methicillin-resistant S. aureus (MRSA), for which we conducted debridement and open retroperitoneal abscess drainage. Case reports of severe acute pancreatitis in a child are few. Continuous arterial infusion of protease inhibitor and antibiotics appear to be effective for children and adults. The abscess was drained retroperitoneally for the retroperitoneal abscess.
KW - Continuous arterial infusion therapy
KW - Retroperitoneal drainage
KW - Severe acute pancreatitis in a child
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U2 - 10.5833/jjgs.35.641
DO - 10.5833/jjgs.35.641
M3 - Article
AN - SCOPUS:0036291887
VL - 35
SP - 641
EP - 644
JO - Japanese Journal of Gastroenterological Surgery
JF - Japanese Journal of Gastroenterological Surgery
SN - 0386-9768
IS - 6
ER -