Manejo de la pancreatitis enfisematosa

  • Francisco Gabriel Onieva Hospital de Llerena
  • Juana Fernández Hospital Infanta Cristina
  • Demetrio Pérez Hospital Infanta Cristina
  • María Jose Espada Hospital Infanta Cristina
  • José Luis Jímenez Hospital Infanta Cristina
  • Gerardo Blanco Hospital Infanta Cristina
Palabras clave: páncreas, pancreatitis aguda necrotizante, choque séptico, abdomen agudo

Resumen

La pancreatitis enfisematosa es una complicación grave y rara de la pancreatitis aguda grave, cuyo diagnóstico se hace mediante tomografía computadorizada, ante el hallazgo de gas en la celda pancreática. Su manejo depende en gran medida del estado general del paciente, de forma que se comienza con un manejo conservador inicial, planteándose opciones más agresivas ante el empeoramiento del cuadro clínico. Hoy en día, han tomado mayor auge los tratamientos mínimamente invasivos, aunque el desbridamiento quirúrgico sigue siendo el método de referencia en estos pacientes. Se presenta una revisión amplia de su manejo quirúrgico a raiz de un caso fatal en nuestro servicio.

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Biografía del autor/a

Francisco Gabriel Onieva, Hospital de Llerena

Cirugía General y del Aparato Digestivo, Hospital de Llerena, Badajoz, España

Juana Fernández, Hospital Infanta Cristina

Cirugía Hepatobiliopancreática y Trasplante Hepático, Hospital Infanta Cristina, Badajoz, España

Demetrio Pérez, Hospital Infanta Cristina

Unidad de Cuidados Intensivos, Hospital Infanta Cristina, Badajoz, España

María Jose Espada, Hospital Infanta Cristina

Cirugía General y del Aparato Digestivo, Hospital Infanta Cristina, Badajoz, España

José Luis Jímenez, Hospital Infanta Cristina

Cirugía General y del Aparato Digestivo, Hospital Infanta Cristina, Badajoz, España

Gerardo Blanco , Hospital Infanta Cristina

Unidad de Cuidados Intensivos, Hospital Infanta Cristina, Badajoz, España

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Publicado
2015-01-01
Cómo citar
(1)
Onieva, F. G.; Fernández, J.; Pérez, D.; Espada, M. J.; Jímenez, J. L.; Blanco , G. Manejo De La Pancreatitis Enfisematosa. Rev Colomb Cir 2015, 29, 59-67.
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