Continuous regional arterial infusion and laparotomic decompression for severe acute pancreatitis with abdominal compartment syndrome

Figure 1 Procedure of placing drug delivery system and imaging after drug delivery system was inserted. A: Drug delivery system; B: Anatomy and how it is inserted; 1: Gastroduodenal artery; 2: Right gastroepiploic artery; 3: Superior pancreatico-duodenal artery; and 4: Inferior pancreatico-duodenal artery (arrows indicate the direction of drug delivery and blood flow); a: The inserting point; and b: The end in which the catheter should be inserted; C: Abdominal X-ray film showed the subcutaneous drug delivery system (DDS) head (arrow); D: Computed tomography (CT) scan showed the subcutaneous DDS and the drug delivery needle inside the DDS (arrow); E: DDS catheter around the pancreas (arrow) in the CT scan.

Figure 2 Imaging comparison between preoperation and postoperation. A: Abdominal computed tomography (CT) scan before the operation; B: Abdominal CT scan after the operation with the drug delivery system (DDS) inserted; C: Abdominal X-ray film showing the subcutaneous DDS head (white); D: CT scan showing the recovered pancreas. No more fluid could be seen around the pancreas (CT scan before discharge).