BACKGROUND: In approximately 20% of @entity1 , necrotizing @entity788 is complicated with severe acute @entity788 , with high morbidity and mortality rates. Minimally invasive step-up approach is both safe and effective, but sometimes requires multiple access sites. METHODS: A 62-year-old @entity1 was admitted with @entity6 , and initial computed tomography (CT) revealed no evidence of acute @entity788 . She was clinically improved with insulin therapy, fluid administration, and electrolyte replacement. However, on the 14(th) day of admission, she developed a high-grade fever, and CT demonstrated evidence of @entity656 with a large collection of peripancreatic fluid. Percutaneous transgastric drainage was performed and a 14 French gauge (Fr) pigtail catheter was placed 1 week later, which drained copious pus. Because of persistent high-grade fever and poor clinical improvement, multiple 8 and 10 Fr pigtail catheters were placed via the initial drainage route, allowing the safe and effective drainage of the extensive @entity39 tissue that was occupying the bilateral anterior pararenal space. RESULTS: After drainage, the @entity1 recovered well and the last catheter was removed on day 123 of admission. CONCLUSIONS: Multiple percutaneous drainage requires both careful judgment and specialist skills. The perforation of the colon and small bowel as well as the @entity8 and major vessels can occur. The current technique appears to be safe and minimally invasive compared with other drainage methods in @entity1 with extended, infected @entity39 @entity9007 .

A minimally invasive multiple percutaneous drainage technique for XXXX .

@entity1 :: ('9606', 'Species') :: ['woman', 'patients', 'patient'] @entity788 :: ('MESH:D010190', 'Disease') :: ['pancreatitis'] @entity8 :: ('MESH:D007674', 'Disease') :: ['injury of the kidney'] @entity656 :: ('MESH:D019283', 'Disease') :: ['acute necrotizing pancreatitis'] @entity6 :: ('MESH:D003920', 'Disease') :: ['diabetic ketoacidosis'] @entity39 :: ('MESH:D009336', 'Disease') :: ['necrotic'] @entity9007 :: ('MESH:D010192', 'Disease') :: ['pancreatic pseudocysts']
@entity656 :: (MESH:D019283,Disease) :: ['acute necrotizing pancreatitis']
