Case Report
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Sep 6, 2024; 12(25): 5821-5831
Published online Sep 6, 2024. doi: 10.12998/wjcc.v12.i25.5821
Severe acute pancreatitis complicated with intra-abdominal infection secondary to trauma: A case report
Yu Zhang, Yun-Feng Cui
Yu Zhang, Department of Surgery, Tianjin Nankai Hospital, Tianjin Medical University, Tianjin 300070, China
Yun-Feng Cui, Department of Hepatobiliary and Pancreatic Surgery, Department of Surgery, Tianjin Nankai Hospital, Nankai Clinical School of Medicine, Tianjin Medical University, Tianjin 300100, China
Author contributions: Zhang Y and Cui YF designed the study; Zhang Y performed the data collection; Zhang Y wrote the article; Zhang Y and Cui YF revised and edited the manuscript; Both authors have read and approved the submitted version.
Supported by China Medical and Health Development Foundation, Young and Middle-aged Doctors Excellent Talent, Pei Ying Program, No. BJ2023YCPYJH003; Tianjin Nankai Hospital integrated Traditional Chinese and Western Medicine Prevention and Treatment Key Technology and Program Optimization 2022 Key Project, No. NKYY-IIT-2022-009-2; Tianjin Key Areas of Traditional Chinese Medicine Science and Technology Project, No. 2022005; Tianjin Natural Science Foundation Key Project; Tianjin Administration of Traditional Chinese Medicine Fund of Traditional Chinese and Western Medicine Integrated Research Project, No. 2021006; and Tianjin 131 Innovative Talent Team, Innovation Team for Diagnosis and Treatment of Acute Abdomen Related to Biliary and Pancreatic Diseases, No. 201938.
Informed consent statement: All study participants, or their legal guardian, provided informed written consent prior to study enrollment. The patient provided informed consent prior to study inclusion.
Conflict-of-interest statement: The authors declare that they have no conflicts of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Yun-Feng Cui, PhD, Chief Doctor, Department of Hepatobiliary and Pancreatic Surgery, Department of Surgery, Tianjin Nankai Hospital, Nankai Clinical School of Medicine, Tianjin Medical University, No. 6 Changjiang Avenue, Nankai District, Tianjin 300100, China. nkyycyf@163.com
Received: April 30, 2024
Revised: June 12, 2024
Accepted: July 1, 2024
Published online: September 6, 2024
Processing time: 77 Days and 13.9 Hours
Abstract
BACKGROUND

Pancreatic trauma (PT) is rare among traumatic injuries and has a low incidence, but it can still lead to severe infectious complications, resulting in a high mortality rate. Acute pancreatitis (AP) is a common complication after PT, and when combined with organ dysfunction and sepsis, it will result in a poorer prognosis.

CASE SUMMARY

We report a 25-year-old patient with multiple organ injuries, including the pancreas, due to abdominal trauma, who developed necrotising pancreatitis secondary to emergency caesarean section, combined with intra-abdominal infection (IAI). The patient underwent performed percutaneous drainage, pancreatic necrotic tissue debridement, and abdominal infection foci debridement on the patient.

CONCLUSION

We report a case of severe AP and IAI secondary to trauma. This patient was managed by a combination of conservative treatment such as antibiotic therapy and fluid support with surgery, and a better outcome was obtained.

Keywords: Abdominal trauma; Pancreatic trauma; Severe acute pancreatitis; Management; Intra-abdominal infection; Case report

Core Tip: A complicated abdominal infection is associated with a very high mortality rate and is a difficult clinical problem. We report a critically ill patient with a complex abdominal infection due to trauma who successfully recovered after conservative treatment and surgery.