Continuous regional arterial infusion and laparotomic decompression for severe acute pancreatitis with abdominal compartment syndrome

Figure 1 Procedure of placing drug delivery system and imaging after drug delivery system was inserted. A: Drug delivery system; B: Anatomy and how it is inserted; 1: Gastroduodenal artery; 2: Right gastroepiploic artery; 3: Superior pancreatico-duodenal artery; and 4: Inferior pancreatico-duodenal artery (arrows indicate the direction of drug delivery and blood flow); a: The inserting point; and b: The end in which the catheter should be inserted; C: Abdominal X-ray film showed the subcutaneous drug delivery system (DDS) head (arrow); D: Computed tomography (CT) scan showed the subcutaneous DDS and the drug delivery needle inside the DDS (arrow); E: DDS catheter around the pancreas (arrow) in the CT scan.