Approach to management of walled-off necrosis secondary to trauma-induced pancreatitis in a limited-resource setting.
Sreelakshmi Pradeep, Daniston Ratnaraj, Dawn Kuruvilla et al.
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Case in brief
A patient with trauma-induced pancreatitis developed a walled-off necrosis (WON) characterized by a necrotic peripancreatic collection. Imaging revealed a mature collection with necrotic debris. Due to ongoing symptoms and nutritional decline, the patient underwent open cystogastrostomy for internal drainage and a Stamm feeding jejunostomy for enteral nutrition, resulting in symptomatic relief and improved nutrition.
Diagnostic / clinical pearl
Timely surgical intervention is crucial in managing symptomatic walled-off necrosis, particularly when less invasive options are not viable.
Why it matters
This case highlights the importance of recognizing and addressing complications of pancreatitis in resource-limited settings, where surgical options may be necessary for effective management.