A 54-year-old male with recurrent episodes of acute pancreatitis, with a personal history of hyperlipemia on treatment and previous fistulotomy.
Six years before she had an episode of moderate-severe acute pancreatitis that required hospitalization.
Ten months ago she presented a new episode in which she required ERCP, which she repeated acute pancreatitis (5 days interval).
Complementary tests included magnetic resonance cholangiography showing chronic pancreatitis on the pancreas divisum and hepatic parenchyma, and an ERCP showing signs of chronic pancreatitis and divisum pancreas.
1.
Surgery was decided, performing caudal pancreatectomy and pancreatic-jejunal bypass.
A gastric anterior face tumor was found, which was reported intraoperatively as a GIST and was removed.
After surgery the patient is admitted to the ICU where he evolves satisfactorily.
On the 5th postoperative day, the patient was transferred to the ward where the drainage became purulent.
After antibiotic treatment, the patient's evolution is satisfactory and discharged on the 19th day.
