Pancreatic Walled-Off Necrosis Eroding into the Inferior Vena Cava: A Case Report

Publication date: Available online 2 February 2018
Source:Current Problems in Diagnostic Radiology
Author(s): Anupama Ramachandran, Sanchit Sharma, Shalimar, Raju Sharma, Kumble Seetharama Madhusudhan
Walled off necrosis (WON) is a well-known delayed local complication of acute necrotizing pancreatitis. Occasionally, WON may spontaneously rupture into the gastrointestinal tract or peritoneal cavity. However, erosion of a WON to a systemic vein has not been reported in literature so far. We report an unusual case of a 63-year-old male with acute necrotizing pancreatitis in whom WON was eroding into the inferior vena cava resulting in its thrombosis. Our patient also had a bunch of other well described complications of pancreatitis including splanchnic venous thrombosis.



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