Panminerva medica
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Acute necrotising pancreatitis is the most serious form of acute pancreatitis and accounts for the majority of complications. Treatment of patients with pancreatic necrosis is still controversial. There is a well-established definition for acute pancreatitis and consequent pancreatic fluid collections. ⋯ Although these collections are not completely liquefied, they do not meet criteria for pseudocysts, however, at the same time, they are morphologically different from acute pancreatic necrosis seen during initial presentation of acute pancreatitis. It has been used to call "subacute" these collections of necrotic pancreatic tissue or "subacute pancreatic necrosis". The purpose of this review is to summarise the subacute collections of necrotic pancreatic tissue and its complications, discussing treatment options of the complex pancreatic and peripancreatic collections found in these patients, focusing on the management of subacute pancreatic necrosis.
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Cerebral embolism is a very rare but recognized manifestation of arterial complications of thoracic outlet syndrome, and is associated with retrograde embolization in the cerebral arteries. We herein report a case of embolic brain infarction due to arterial thoracic outlet syndrome while discussing the etiology, diagnosis, and surgery.