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

Naoaki Sakata, Kazuhiko Shibuya, Tadayosi Abe, Yukio Mikami, Fuyuhiko Motoi, Junichiro Yamauchi, Makoto Sunamura, Kazunori Takeda, Seiki Matsuno

研究成果: Article査読

抄録

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.

本文言語English
ページ(範囲)641-644
ページ数4
ジャーナルJapanese Journal of Gastroenterological Surgery
35
6
DOI
出版ステータスPublished - 2002
外部発表はい

ASJC Scopus subject areas

  • 外科
  • 消化器病学

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