Abstract
1/2015
vol. 1
Case report
The role of clinical guidelines for the management of severe acute pancreatitis
J Health Inequal 2015; 1: 31–33
Online publish date: 2015/12/31
Objective: To present the case of severe acute pancreatitis and identify some of the deviations from practice guidelines, that could negatively affect treatment-related outcomes.
Clinical presentation: A 66-year-old male presented at the city hospital with jaundice, fever and abdominal pain. Acute pancreatitis was diagnosed, but not properly classified, and open cholecystectomy with choledochotomy was performed. The patient developed multiple systemic and local complications and his condition worsened. The clinical condition was stabilized after long-term hospitalization (over 40 days) in Emergency Department and Clinic of Gastroenterology, but the recovery was not complete.
Conclusions: Patients with acute pancreatitis caused by gallstones require careful preoperative assessment according to the current established recommendations.
Clinical presentation: A 66-year-old male presented at the city hospital with jaundice, fever and abdominal pain. Acute pancreatitis was diagnosed, but not properly classified, and open cholecystectomy with choledochotomy was performed. The patient developed multiple systemic and local complications and his condition worsened. The clinical condition was stabilized after long-term hospitalization (over 40 days) in Emergency Department and Clinic of Gastroenterology, but the recovery was not complete.
Conclusions: Patients with acute pancreatitis caused by gallstones require careful preoperative assessment according to the current established recommendations.
Keywords
severe acute pancreatitis, clinical guidelines, surgical treatment
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