Pancreas

Juan A. Asensio, Patrizio Petrone, L. D. Britt

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

You are asked to evaluate a patient who was admitted for alcohol-induced pancreatitis. The patient has had a smoldering course despite aggressive resuscitation and is, currently, febrile and toxic while receiving broad-spectrum antimicrobial therapy. Physical examination demonstrates midepigastric tenderness on moderate palpation. Computed tomography scan findings are consistent for necrotizing pancreatitis. The white blood cell count has increased from 12,000 to 16,000 over the past 48 hours.Which of the following is the most prudent management plan at this time? (A) Continued medical management (B) Peritoneal lavage (C) Computed tomography - directed biopsy of the necrotic tissue for confirmation of infectious etiology (D) Celiotomy (E) Administration of octreotide

Original languageEnglish (US)
Title of host publicationAcute Care Surgery
Subtitle of host publicationPrinciples and Practice
PublisherSpringer New York
Pages497-512
Number of pages16
ISBN (Print)0387344705, 9780387344706
DOIs
StatePublished - Dec 1 2007
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Medicine(all)

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  • Cite this

    Asensio, J. A., Petrone, P., & Britt, L. D. (2007). Pancreas. In Acute Care Surgery: Principles and Practice (pp. 497-512). Springer New York. https://doi.org/10.1007/978-0-387-69012-4_32