Case Report
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Nov 27, 2024; 16(11): 3590-3597
Published online Nov 27, 2024. doi: 10.4240/wjgs.v16.i11.3590
Emergency pancreaticoduodenectomy for pancreatitis-associated necrotic perforation of the distal stomach and full-length duodenum: A case report
Kui-Nan Tong, Wei-Tao Zhang, Kun Liu, Rui Xu, Wei Guo
Kui-Nan Tong, Wei-Tao Zhang, Kun Liu, Wei Guo, Department of General Surgery, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China
Rui Xu, Department of Pathology, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China
Co-first authors: Kui-Nan Tong and Wei-Tao Zhang.
Author contributions: Tong KN and Zhang WT equally contributed to manuscript writing and editing, and data collection; Xu R contributed to the pathological section; Guo W and Liu K contributed to conceptualization and supervision. All authors have read and approved the final manuscript. Tong KN and Zhang WT contributed equally to this work as co-first authors.
Supported by Beijing Hospitals Authority Clinical Medicine Development of Special Funding, No. XMLX202102.
Informed consent statement: All study participants, or their legal guardians, provided written, informed consent prior to study enrollment.
Conflict-of-interest statement: The authors declare no potential conflicts of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016). The manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Wei Guo, MD, PhD, Chief Doctor, Professor, Department of General Surgery, National Clinical Research Centre for Digestive Diseases; State Key Lab of Digestive Health, Beijing Friendship Hospital, Capital Medical University, No. 95 Yong-an Road, Xi-Cheng District, Beijing 100050, China. guowei@ccmu.edu.cn
Received: July 17, 2024
Revised: September 10, 2024
Accepted: September 12, 2024
Published online: November 27, 2024
Processing time: 105 Days and 9.9 Hours
Abstract
BACKGROUND

Non-ulcerative necrosis of the stomach and duodenum is rare because of the abundant blood supply in the gastrointestinal tract. Duodenal necrosis is a rare complication of severe acute pancreatitis. Emergency pancreaticoduodenectomy (EPD) is a rare procedure, with extensive duodenal necrosis being one of its indications.

CASE SUMMARY

We here report the case of a 57-year-old man who survived EPD for pancreatitis, which resulted in the necrosis of the distal stomach, full-length duodenum, and part of the jejunum.

CONCLUSION

Despite significant surgical risks, an EPD could be a life-saving procedure in severe cases of pancreatitis.

Keywords: Severe acute pancreatitis; Serious complications; Duodenal necrosis; Gastrointestinal necrosis; Emergency pancreaticoduodenectomy; Case report

Core Tip: This case report details a rare instance of successful emergency pancreaticoduodenectomy (EPD) for a patient with severe acute pancreatitis (SAP) which led to extensive necrosis of the distal stomach, full-length duodenum, and part of the jejunum. This is the most extensive case of necrosis reported to date. Despite the high risk of complications, EPD proved to be a life-saving intervention, underscoring its critical role in treating severe gastrointestinal necrosis associated with SAP. Our case study shows that it is crucial to recognize this rare complication in time.