• Juan A. Asensio
  • Patrizio Petrone
  • L. D. Britt


You are asked to evaluate a patient who was admitted for alcohol-induced pancreatitis. The patient has had a smoldering course despite aggressive resuscitation and is, currently, febrile and toxic while receiving broad-spectrum antimicrobial therapy. Physical examination demonstrates midepigastric tenderness on moderate palpation. Computed tomography scan findings are consistent for necrotizing pancreatitis. The white blood cell count has increased from 12,000 to 16,000 over the past 48 hours.Which of the following is the most prudent management plan at this time?
  1. (A)

    Continued medical management

  2. (B)

    Peritoneal lavage

  3. (C)

    Computed tomography—directed biopsy of the necrotic tissue for confirmation of infectious etiology

  4. (D)


  5. (E)

    Administration of octreotide



Acute Pancreatitis Common Bile Duct Distal Pancreatectomy Main Pancreatic Duct Uncinate Process 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© Springer Science+Business Media, LLC 2007

Authors and Affiliations

  • Juan A. Asensio
    • 1
  • Patrizio Petrone
    • 2
  • L. D. Britt
    • 3
  1. 1.Department of Surgery/Division of TraumaUniversity of Medicine and Dentistry of New Jersey at NewarkNewarkUSA
  2. 2.Department of Surgery, Division of Trauma Surgery and Surgical Critical CareLos Angeles County and The University of Southern California Medical CenterLos AngelesUSA
  3. 3.Department of SurgeryEastern Virginia Medical SchoolNorfolkUSA

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