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Septic shock in the course of liver abscess rescued with percutaneous drainage – a literature review and case report

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Snarska J., Michalak M., Masiulaniec P., Jacyna K., Zalewski A.
Polish Journal of Surgery
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2016
|
vol. 88(5)
496-503
EN
This study presented a septic shock occurring with striking speed during the percutaneous drainage of a large abscess of the liver in an 18-year-old female patient after an appendectomy performed 3 months earlier using the laparoscopic method because of its phlegmonous and gangraenosus inflammation. The post-operative course was complicated by increased suppuration in places after removal of the trocars. After including the intravenous antibiotic therapy and under the USG control, the percutaneous drainage of the abscess was performed. While withdrawing the guide of the drainage catheter set, the symptoms of septic shock occurred. The pharmacological treatment was applied with continuation of the antibiotic therapy till a negative result of microbiological tests was obtained and the normalization of life parameters. The patient was not qualified for treatment in the ICU. She was discharged in a generally good condition after 24 days of hospitalization. In the case of this patient, the drain covered with the content of the abscess may have contact with the adjacent tiny blood vessels, which may have contributed to the systemic inflammatory response syndrome that was linked with fast-developing sceptic shock.
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Description of minimally invasive methods of treatment of walled-off pancreatic necrosis (WOPN)- the use of „step up approach” in patient with pancreatic n

88%
Jagielski M., Smoczyński M., Studniarek M., Adrych K.
Polish Journal of Surgery
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2015
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vol. 87(8)
409-412
EN
The study presents description of treatment of patients with walled-off pancreatic necrosis (WOPN). The strategy of treatment was to extend access to necrotic areas (“step-up approach”). Applied endoscopic transmural access (transgastric) and percutaneous access (transperitoneal). The endoscopic necrosectomy under fluoroscopic guidance was repeated four times during active transluminal drainage. Endoscopic treatment with percutaneous drainage gave very beneficial clinical effects.
3
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Complex Interventional Treatment of Extensive Consequences of Necrotizing Pancreatitis - Case Report

88%
Jagielski M., Smoczyński M., Studniarek M., Śledziński Z., Adrych K.
Polish Journal of Surgery
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2015
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vol. 87
|
issue 1
39-42
EN
The paper presents description of the effective treatment of patients with extensive consequences of necrotizing pancreatitis. The strategy of treatment was to extend access to necrotic areas („step-up approach”). Applied endoscopic transmural access (transgastric), percutaneous access (transperitoneal) and surgical access. The cooperation endoscopist, surgeon and interventional radiologist gave very beneficial clinical effects in patients with extensive complications of acute pancreatitis.
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