Case Report
Copyright ©The Author(s) 2019. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Apr 27, 2019; 11(4): 237-246
Published online Apr 27, 2019. doi: 10.4240/wjgs.v11.i4.237
Management of infected pancreatic necrosis in the setting of concomitant rectal cancer: A case report and review of literature
Kihoon Choi, David E Flynn, Anitha Karunairajah, Andrew Hughes, Ambika Bhasin, Benedict Devereaux, Manju D Chandrasegaram
Kihoon Choi, Department of Surgery, Gold Coast University Hospital, Southport, QLD 4215, Australia
David E Flynn, Anitha Karunairajah, Andrew Hughes, Manju D Chandrasegaram, Department of General Surgery, the Prince Charles Hospital, Brisbane, QLD 4032, Australia
Ambika Bhasin, Department of Radiology, the Prince Charles Hospital, Brisbane, QLD 4032, Australia
Benedict Devereaux, Department of Gastroenterology, Royal Brisbane and Women’s Hospital, Brisbane, QLD 4029, Australia
Author contributions: Choi K, Karunairajah A and Flynn DE were involved in the manuscript drafting, editing and revision and performed literature reviews; Bhasin A interpreted and reported on the radiographic findings within the case and was involved in the editing and drafting of the manuscript; Devereaux B, Chandrasegaram MF, Hughes A were consultants involved in the care of the patient and were involved in editing and reviewing the manuscript.
Informed consent statement: Informed signed consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Manju D Chandrasegaram, FRCS, MBChB, Surgeon, Department of General Surgery, the Prince Charles Hospital, Rode Road, Chermside, QLD 4032, Australia. m.chandrasegaram@uq.edu.au
Telephone: +61-7-31393268 Fax: +61-7-31394651
Received: March 2, 2019
Peer-review started: March 4, 2019
First decision: March 19, 2019
Revised: March 24, 2019
Accepted: April 9, 2019
Article in press: April 9, 2019
Published online: April 27, 2019
Core Tip

Core tip: Early identification of infected pancreatic necrosis is critical to minimizing the associated high morbidity and mortality of this disease. A high index of clinical suspicion combined with radiological evidence will guide the discerning clinician towards instituting targeted antibiotic therapy and enteral feeding in a timely manner. As soon as it is clinically feasible, minimally invasive necrosectomy should be considered to achieve definitive source control. Efficient resolution of infection is especially important for patients who require urgent treatment for other life-threatening conditions, such as colorectal cancer.