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Case ReportOpen Access
Acute Pancreatitis Following Resection of Juxtarenal Abdominal Aortic Aneurysm
Sriussadapom S 
A case of acute pancreatitis following resection of a juxtarenal abdominal aortic aneurysm
is reported. The patient was a 73 year old man who Uitderwent resection of a juxtarenal abdominal
aortic aneurysm. The aneurysm was repaired with a 20 mm. gelatin coated Dacron graft. Proximal
control of the aneurysm was performed with supraceliac aortic cross clamping. The clamping time
was 50 minutes. Postoperatively, he developed progressive abdominal distension with deterioration
of renal and pulmonary function necessitating relaparotomy on the 7th postoperative day. The second
operation revealed evidence of saponification and fat necrosis in the omentum. The pancreas was
edematous and swollen compatible with acute pancreatitis. The aortic graft and other intraabdominal
organs appeared normal. Despite intensive supportive care, the patient died 2 weeks later
from multiple system organ failure. The possible causes of acute pancreatitis following aortic
surgery described in the literature are 1. systemic and regional hypoperfusion, 2 atheromatous
emboli to arteries supplying the pancreas and 3. direct trauma to the pancreas during the operation
from retractors or surgical dissection. All of which may be the etiology of acute pancreatitis in
our patient. Avoidance of such factors during aortic surgery is recommended to prevent this
potentially fatal complication.
Key word : Acute Pancreatitis, Abdominal Aortic Aneurysm, Resection
is reported. The patient was a 73 year old man who Uitderwent resection of a juxtarenal abdominal
aortic aneurysm. The aneurysm was repaired with a 20 mm. gelatin coated Dacron graft. Proximal
control of the aneurysm was performed with supraceliac aortic cross clamping. The clamping time
was 50 minutes. Postoperatively, he developed progressive abdominal distension with deterioration
of renal and pulmonary function necessitating relaparotomy on the 7th postoperative day. The second
operation revealed evidence of saponification and fat necrosis in the omentum. The pancreas was
edematous and swollen compatible with acute pancreatitis. The aortic graft and other intraabdominal
organs appeared normal. Despite intensive supportive care, the patient died 2 weeks later
from multiple system organ failure. The possible causes of acute pancreatitis following aortic
surgery described in the literature are 1. systemic and regional hypoperfusion, 2 atheromatous
emboli to arteries supplying the pancreas and 3. direct trauma to the pancreas during the operation
from retractors or surgical dissection. All of which may be the etiology of acute pancreatitis in
our patient. Avoidance of such factors during aortic surgery is recommended to prevent this
potentially fatal complication.
Key word : Acute Pancreatitis, Abdominal Aortic Aneurysm, Resection
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