Pancreonecrosis as a complication of biliary pancreatitis in a child with morbid obesity

Abstract

Obesity in children is often accompanied by organic and functional changes on the part of the organs of the hepatobiliary system and pancreas. The article describes a clinical case of complicated course of gastrointestinal tract and pancreatic steatosis on the background of morbid obesity in a 15-year-old child with the development of choledocholithiasis, in turn, complicated by acute pancreatitis, pancreonecrosis, peritonitis and perforation of the colon. The tactics of child management, a set of diagnostic methods of examination, methods of surgical treatment are described. The necessity of early detection of both obesity itself and timely screening of its complications and comorbid pathology to prevent potentially life-threatening conditions is shown. Ultrasound of the abdominal cavity and biochemical blood analysis are mandatory for obese children. In cases of unclear genesis of jaundice, MRI is recommended to exclude obturation and abnormalities of the biliary tract. The choice of surgical tactics for the treatment of children with GI, acute pancreatitis is determined by the combination of complications, the condition of the child and the results of laboratory-radiation research methods.