title: [Necrotising pancreatitis as an unexpected complication in seriously ill patients].
abstract: Three patients, two men aged 70 and 73 years, respectively, who underwent surgery due to an abdominal aortic aneurysm, and a woman aged 75 years, who was operated on due to acute arterial embolic occlusion of both legs, developed abdominal complaints post-operatively. These were found to be caused by necrotising pancreatitis. The accompanying fluid accumulation was drained percutaneously. Two patients recovered; the 73-year-old man died suddenly, possibly as a result of burst aortic sutures. In patients with a serious condition, necrotising pancreatitis should be considered in the case of a generalised inflammatory reaction and abdominal symptoms. Percutaneous drainage of infected necrotic tissue can sometimes improve the patient's condition, making surgery possible at a later stage.
authors.affiliation: Groot Ziekengasthuis, afd. Chirurgie en Intensive Care, 's-Hertogenbosch.
authors.forename: S L
authors.initials: SL
authors.lastname: Damen
authors.forename: J G
authors.initials: JG
authors.lastname: Olsman
authors.forename: J G
authors.initials: JG
authors.lastname: van der Hoeven
mesh_terms: D000368:Aged; D017544:Aortic Aneurysm, Abdominal / Q000601:surgery*; D001157:Arterial Occlusive Diseases / Q000601:surgery*; D004322:Drainage; D004617:Embolism / Q000601:surgery*; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D008297:Male; D019283:Pancreatitis, Acute Necrotizing / Q000209:etiology*; D011183:Postoperative Complications / Q000209:etiology*