Treatment of severe acute pancreatitis and its complications

Figure 1 Natural clinical course of severe acute pancreatitis. SIRS: Systemic inflammatory response syndrome; MOF: Multisystem organ failure.

Figure 2 Three catheters inserted percutaneously into the abscess collections formed during the clinical course of necrotizing pancreatitis.

Figure 3 Ultrasound appearance of pancreatic necroses and a large acute fluid collection before and after drainage. A: Large fluid collection and pancreatic necroses before drainage; B: Catheter in the peripancreatic fluid collection; C: Massive pancreatic necroses with secondary fluid collection.

Figure 4 Ultrasound appearance of infected pancreatic necrosis before and after the treatment of acute pancreatitis. A: Infected pancreatic necrosis (IPN) involved the entire pancreas in the beginning of the disease; B: Liquefied areas in the IPN marked by arrows; C: Small necroses and liquid collections around the pancreas 2 mo after the beginning of treatment marked by arrows; D: Normal appearance of the pancreas 6 mo after the beginning of treatment.

Figure 5 Computed tomography. A: Computed tomography (CT) appearance of the infected pancreatic necrosis, which involves the entire pancreas (marked by an arrow); B: CT appearance of a large pancreatic walled-off necrosis in the tail of the pancreas (marked by arrows).