Ischemic necrotizing pancreatitis. Two case reports and review of the literature.
Pancreatic ischemia is a very rare etiology of clinical acute pancreatitis, complicating cardiac surgery, hemorrhagic shock, and transplantation of the pancreas. In this article, we present two patients with acute ischemic necrotizing pancreatitis, complicating a generalized atheromatous disease with extensive lesions in the splanchnic circulation (patient 1) and repair of a descending thoracic aortic aneurysm (patient 2). Diagnostic approach and management of ischemic necrotizing pancreatitis are discussed.
Sakorafas
G H
GH
Department of Surgery, Mayo Clinic, Rochester, MN 55905, USA.
Tsiotos
G G
GG
Bower
T C
TC
Sarr
M G
MG
D000368:Aged; D017545:Aortic Aneurysm, Thoracic / Q000601:surgery; D001161:Arteriosclerosis / Q000150:complications; D006801:Humans; D007511:Ischemia / Q000150:complications*; D008297:Male; D008875:Middle Aged; D010179:Pancreas / Q000098:blood supply*; D019283:Pancreatitis, Acute Necrotizing / Q000209:etiology*; D011183:Postoperative Complications