Abstract
Duodenal necrosis is a rare, but very serious complication of acute necrotizing pancreatitis that most likely is the result of vascular compromise and ischemia of the peri-Vaterian aspect of the duodenal wall. In this article, we present three patients with duodenal necrosis complicating acute necrotizing pancreatitis. The diagnosis was made at the time of necrosectomy. Management options of this challenging complication of necrotizing pancreatitis are discussed.
MeSH terms
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Adult
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Aged
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Duodenal Diseases / etiology
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Duodenal Diseases / pathology
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Duodenal Diseases / surgery
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Duodenum / pathology*
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Duodenum / physiopathology
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Duodenum / surgery
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Female
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Humans
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Intestinal Fistula / etiology
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Intestinal Fistula / pathology
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Intestinal Fistula / surgery
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Intestinal Perforation / diagnosis
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Intestinal Perforation / etiology
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Intestinal Perforation / pathology
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Male
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Necrosis
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Pancreaticoduodenectomy
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Pancreatitis, Acute Necrotizing / complications*
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Pancreatitis, Acute Necrotizing / pathology*
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Pancreatitis, Acute Necrotizing / surgery