Acta Med. 2021, 64: 46-49

Rare Complication of Necrotizing Pancreatitis: Extension of Retroperitoneal Abscess into Femoral Region

Maja Karina, Ante Boguta, Ivan Romicb, Hrvoje Silovskib, Josip Figlb, Danijel Pravdica, Mile Volarica, Emil Babica, Branko Bakulac, Renata Romicd

aInternal Medicine Clinic with Dialysis Center, University Clinical Hospital Mostar, Bosnia and Herzegovina
bSurgery Department, University Clinical Hospital Zagreb, Croatia
cSurgery Department, University Clinical Hospital Sveti Duh, Zagreb, Croatia
dFamily Medicine Department, Health centre Zagreb, Zagreb, Croatia

Received June 7, 2020
Accepted November 24, 2020

Distant abscesses are uncommon during the episode of acute pancreatitis (AP). However, these are possible sequalae of necrotizing pancreatitis and should be treated appropriately to prevent serious septic complications. We demonstrate a case of a 56-year-old male patient who presented with severe necrotizing pancreatitis and distant retroperitoneal abscess that reached femoral region and was detected on diagnostic imaging scans. Combination of surgical and supportive therapy was employed, and the patient recovered well with no permanent consequences. Our article highlights the importance of quick and accurate diagnosis and timely intervention in this rare type of pancreatitis complication.


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