Korean J Pancreas Biliary Tract.  2016 Jan;21(1):34-39. 10.15279/kpba.2016.21.1.34.

Wernicke Encephalopathy after Endoscopic Necrosectomy in Acute Necrotizing Pancreatitis with WOPN: A Case Report

• Kim M
• Kang EK
• Kim SY
• Kim JY
• Moon SM
• Seo YH
• Cho JH
• Park YS

• KMID: 2448510
• DOI: http://doi.org/10.15279/kpba.2016.21.1.34

Abstract

Infected walled-off pancreatic necrosis (WOPN) is dangerous complication of acute pancreatitis. Open necrosectomy and post-operative irrigation of necrotic cavity have been conventional treatment for infected pancreatic necrosis, however, recently minimally invasive techniques such as endoscopic necrosectomy has been regarded as preferred treatment method for infected WOPN. Endoscopic necrosectomy provides a targeted approach with a reduction in the systemic inflammatory response and avoidance of wound complications. Non alcohol related Wernicke encephalopathy is rare disease caused by thiamine deficiency due to intravenous feeding, and presented an encephalopathy, oculomotor dysfunction, gait ataxia. We report herein a case of Wernicke encephalopathy after successful endoscopic necrosectomy for infected WOPN.

Keyword

Pancreatitis; Acute necrotizing; Endoscopic necrosectomy; Wernicke encephalopathy; WOPN

MeSH Terms

Gait Ataxia
Necrosis
Pancreatitis
Pancreatitis, Acute Necrotizing*
Parenteral Nutrition
Rare Diseases
Thiamine Deficiency
Wernicke Encephalopathy*
Wounds and Injuries