Year 2018 / Volume 110 / Number 10
Case Report
Enzymatic mediastinitis as a fearsome complication of pancreatic necrosectomy

669-671

DOI: 10.17235/reed.2018.5576/2018

Marta Paniagua García-Señoráns, María Reyes Meléndez Villar, Paula Senra del Río, Eva María García Fontán, Fabio Ausania,

Abstract
Several types of thoracic complications can be associated with severe acute pancreatitis. Some are very common, such as pleural effusion, whilst some others are very rare although life threatening, such as enzymatic mediastinitis (EM). Only a few cases of EM (when related to acute pancreatitis) have been described in the literature. Here we describe the case of a 76-year-old female who developed acute respiratory failure and atrial fibrillation during the postoperative period after an open pancreatic necrosectomy, due to an EM episode. The mediastinal collection was drained by thoracotomy, following an improvement of the patient’s general condition. This is the first case of EM following surgical management for acute necrotizing pancreatitis. EM is a rare but life threatening complication that usually requires surgery.
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References
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Paniagua García-Señoráns M, Meléndez Villar M, Senra del Río P, García Fontán E, Ausania F. Enzymatic mediastinitis as a fearsome complication of pancreatic necrosectomy. 5576/2018


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Publication history

Received: 05/03/2018

Accepted: 30/05/2018

Online First: 22/06/2018

Published: 01/10/2018

Article revision time: 83 days

Article Online First time: 109 days

Article editing time: 210 days


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