Saturday, June 23, 2012

CASE: Revision Frey's for Old Pustow

36 yrs male operated for Pustow's procedure for chronic pancreatitis before 20 yrs
having pain in abdomen initially type A now converted to Type B
and dependent on daily high dose of analgesics

evaluated and found to have strictured previous anastomosis with dilated head, neck ducts with stones in duct..and dilated duct in tail as well

CECT: S/O chronic pancreatitis with strictured duct and dilated duct in head and tail with impacted stone

decision of revision surgery was taken after 5 months of conservative treatment

SURGERY: Revision pustow's with Frey's procedure.

patient was discharged on pod 6 with relieved pain..