case_images: PMC6044201_01
case_images: Under fluoroscopic, a guide wire is inserted through the
  previous catheter which is removed. The tract is dilated
  increasing size step by step until reach 30 F sheath
case_images: 0102-6720-abcd-31-02-e1379-gf1.jpg
case_images: PMC6044201_01_0102-6720-abcd-31-02-e1379-gf1.jpg
case_images: f1
case_images: Owing to the subsequent repeated onset of febrile episodes, a left lateral VARD was performed eight weeks of evolution of acute necrotizing pancreatitis (Figures 1 and 2).
case_images: A left lateral video-assisted retroperitoneal debridement was
  performed. A cystoscope was introduced through the previously
  described 30 F sheath. An incomplete necrosectomy was performed
  duo to fixed and adhered tissue.
case_images: 0102-6720-abcd-31-02-e1379-gf2.jpg
case_images: PMC6044201_01_0102-6720-abcd-31-02-e1379-gf2.jpg
case_images: f2
case_images: Owing to the subsequent repeated onset of febrile episodes, a left lateral VARD was performed eight weeks of evolution of acute necrotizing pancreatitis (Figures 1 and 2).
case_images: Second VARD using a full covered esophagic metallic stent as
  a dilatator tract, achieving a complete pancreatic necrosectomy
case_images: 0102-6720-abcd-31-02-e1379-gf3.jpg
case_images: PMC6044201_01_0102-6720-abcd-31-02-e1379-gf3.jpg
case_images: f3
case_images: After a transient recovery, a relapse occurred and a second VARD was attempted, this time using a partially covered esophagic metallic stent as a dilatator tract, removed inmediatelly after the procedure (Figure 3) and achieving a complete necrosectomy.
case_images: Computed tomography presented acute peri-pancreatic collections and
  necrosis
case_images: 0102-6720-abcd-31-02-e1379-gf4.jpg
case_images: PMC6044201_01_0102-6720-abcd-31-02-e1379-gf4.jpg
case_images: f4
case_images: In the days thereafter the patient appeared to be recovering; however, 1-2 weeks before the admission he deteriorated once more with fever, leukocytosis, an increase in abdominal pain; the contrast enhanced computed tomography presented acute peri-pancreatic collections and necrosis (Figure 4). 
case_images: Reduction of peri-pancreatic collection at follow-up CT scan
case_images: 0102-6720-abcd-31-02-e1379-gf5.jpg
case_images: PMC6044201_01_0102-6720-abcd-31-02-e1379-gf5.jpg
case_images: f5