Case report demonstrates successful staged endovideosurgical and vascular management of infected pancreonecrosis, highlighting minimally invasive control of severe hemorrhagic and fistulous sequelae.
Acute pancreatitis is the 3rd most common abdominal pathology after acute appendicitis and acute cholecystitis occurring in 10 to 25% of patients. The lethality in acute pancreatitis, according to different data, varies from 15 to 25%. We presented the results of minimally invasive stage combined endovideosurgical and X-ray vascular treatment of the patient with infected subtotal mixed pancreonecrosis complicated by pseudocyst formation of pancreatic tail, recurrent arrosive hemorrhage, formation of external gastric and incomplete external pancreatic fistula in the late postoperative period.
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Самарцев et al. (2024) studied this question.
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