Emergency pancreaticoduodenectomy for pancreatitis-associated necrotic perforation of the distal stomach and full-length duodenum: A case report

Kui-Nan Tong; Wei-Tao Zhang; Kun Liu; Rui Xu; Wei Guo

doi:10.4240/wjgs.v16.i11.3590

Emergency pancreaticoduodenectomy for pancreatitis-associated necrotic perforation of the distal stomach and full-length duodenum: A case report

World J Gastrointest Surg. 2024 Nov 27;16(11):3590-3597. doi: 10.4240/wjgs.v16.i11.3590.

Authors

Kui-Nan Tong¹, Wei-Tao Zhang¹, Kun Liu¹, Rui Xu², Wei Guo³

Affiliations

¹ Department of General Surgery, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China.
² Department of Pathology, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China.
³ Department of General Surgery, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China. guowei@ccmu.edu.cn.

Abstract

Background: Non-ulcerative necrosis of the stomach and duodenum is rare because of the abundant blood supply in the gastrointestinal tract. Duodenal necrosis is a rare complication of severe acute pancreatitis. Emergency pancreaticoduodenectomy (EPD) is a rare procedure, with extensive duodenal necrosis being one of its indications.

Case summary: We here report the case of a 57-year-old man who survived EPD for pancreatitis, which resulted in the necrosis of the distal stomach, full-length duodenum, and part of the jejunum.

Conclusion: Despite significant surgical risks, an EPD could be a life-saving procedure in severe cases of pancreatitis.

Keywords: Case report; Duodenal necrosis; Emergency pancreaticoduodenectomy; Gastrointestinal necrosis; Serious complications; Severe acute pancreatitis.

Publication types

Case Reports