title: [Necrosis of the ligamentum teres hepatis and the anterior abdominal wall in acute pancreatitis].
abstract: The varying sites of extrapancreatic tissue necrosis in acute pancreatitis seldom include the anterior abdominal wall. In cases of liver enlargement causing a high portal pressure, the umbilical vein serves as a vent, shunting the portal blood through the teretic hepatic ligament to the anterior abdominal wall. Corticosteroids make the tissues even more susceptible to the activated pancreatic enzymes and are thus a contributing factor to the tissue necrosis. We describe a case of necrosis of the teretic hepatic ligament and the anterior rectus abdominis muscle following acute biliary pancreatitis.
authors.affiliation: Chirurgische Klinik des Kreiskrankenhauses Köping, Schweden.
authors.forename: H
authors.initials: H
authors.lastname: Lange
authors.forename: I
authors.initials: I
authors.lastname: Rozentale
mesh_terms: D000208:Acute Disease; D000305:Adrenal Cortex Hormones / Q000008:administration & dosage / Q000009:adverse effects; D002763:Cholecystectomy; D002769:Cholelithiasis / Q000473:pathology / Q000601:surgery*; D001651:Cholestasis, Extrahepatic / Q000473:pathology / Q000601:surgery*; D005260:Female; D005704:Gallbladder / Q000473:pathology; D006801:Humans; D008022:Ligaments / Q000473:pathology* / Q000601:surgery; D008099:Liver / Q000473:pathology* / Q000601:surgery; D008875:Middle Aged; D009336:Necrosis; D010195:Pancreatitis / Q000473:pathology / Q000601:surgery*; D017568:Rectus Abdominis / Q000473:pathology* / Q000601:surgery
chemical_list: D000305:Adrenal Cortex Hormones
vernacular_title: Nekrose des Ligamentum teres hepatis und der vorderen Bauchwand bei akuter Pankreatitis.