ArticleInternational journal of surgery case reports2026
Immediate-onset postoperative acute pancreatitis after thoracic decompression laminectomy: a case report and literature review.
Article in International journal of surgery case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Introduction and importance: Postoperative acute pancreatitis is uncommon after non-abdominal surgery and is mostly described after pediatric scoliosis correction in low body mass index (BMI) patients with intraoperative hypotension. Immediate onset after thoracic decompression in an obese adult with stable hemodynamics has not been reported. Case presentation: A 51-year-old man (BMI: 33.7 kg/m Clinical discussion: The abrupt timing strongly suggests an intraoperative or positioning-related insult despite preserved systemic pressures. Plausible mechanisms include transient splanchnic hypoperfusion, occult abdominal or pancreatic compression, and microcirculatory dysfunction. Conclusion: Acute pancreatitis can arise immediately after thoracic spine surgery in the absence of classic risk factors. Vigilance for pancreatitis in patients with new-onset epigastric pain in the operating or recovery room enables timely diagnosis and supportive management.
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