Endoscopic Management of Pancreatic Necrosis

A 44-year-old male was transferred from another hospital after a four-month history of recurrent fevers, respiratory failure requiring tracheostomy and abdominal pain due to severe acute pancreatitis. He had undergone unsuccessful endoscopic and percutaneous drainage of suspected infected pancreatitis necrosis and was now ventilator dependent.

Following a multidisciplinary evaluation at Northwestern Memorial Hospital, Rajesh Keswani, MD performed an endoscopic ultrasound-guided Cystogastrostomy with subsequent necrosectomy and the patient began to rapidly improve. He slowly regained his energy and was discharged after two months.

One year later, with successful minimally invasive management, the patient has returned to work and once again is able to take care of his young children at home. He is appreciative of the coordinated care between the referring physicians and Northwestern Medicine.