Severe pancreatitis is getting bigger and bigger belly what's going on, what to do

Abdomen refers to the abdomen, and severe pancreatitis has an increasing abdomen, which may be related to factors such as accumulation of ascites, intestinal obstruction, pancreatic fistula formation, pancreatic pseudocyst, and fat necrosis. Patients need to be seen for examination in a timely manner, and specific treatment should be given after specific factors have been identified.

1. Ascites accumulation: Severe pancreatitis can cause inflammation and edema of pancreatic tissue, which will lead to impaired pancreatic function, resulting in necrosis of pancreatic tissue and the release of a large amount of fluid. This fluid can accumulate in the abdominal cavity and form ascites, which can cause the abdomen to distangle and become larger.People with severe pancreatitis who have a buildup of fluid in the pancreas may need a catheter drainage procedure to place a catheter to drain the fluid buildup and reduce inflammation and symptoms.

2. Intestinal obstruction: In the case of severe pancreatitis, the inflammatory response may cause an inflammatory response in the surrounding tissues, resulting in intestinal adhesions or strictures, which can lead to intestinal obstruction. Intestinal obstruction can cause gastrointestinal motility to slow down and gas and substances to build up in the digestive tract, causing a swollen abdomen. Patients may require bowel decompression, by inserting a gastric or bowel tube to drain gas and fluid. In cases where intestinal obstruction is severe or cannot be relieved, surgery may be needed to remove the intestinal obstruction and repair the damage caused by pancreatitis.

3. Pancreatic fistula formation: It refers to the secretion of the pancreas passing through the pancreatic tissue from the inside of the pancreas to form a pipe that communicates with the tissues around the pancreas or other cavities. The formation of a pancreatic fistula may cause pancreatic secretions to leak into the abdominal cavity, causing the formation of fluid in the abdominal cavity, resulting in abdominal swelling. For patients with pancreatic fistula, pancreatic drainage surgery may be required, and a drainage tube can be placed to drain the fluid inside the fistula and reduce abdominal fluid and inflammation.

4. Pancreatic pseudocyst: It is a sac-like structure formed by pancreatic tissue necrosis or fluid accumulation caused by the inflammatory reaction caused by pancreatitis, and the enlargement of pancreatic pseudocyst will cause abdominal swelling.Severe pancreatitis due to pancreatic pseudocysts may require drainage. Treatment can usually be done with percutaneous drainage or endoscopic drainage to drain fluid from the cyst and reduce inflammation. If the cyst is large or drainage is ineffective, surgery may be needed to remove the cyst and repair or remove the drained pancreatic tissue.

5. Fat necrosis: In the case of severe pancreatitis, the inflammatory response of the pancreas may lead to adipose tissue necrosis. Fat necrosis causes fluid accumulation and inflammation in the abdominal cavity, causing the abdomen to gradually become larger. Severe fat necrosis may require surgery because it repairs or relieves intestinal obstruction and removes dead tissue.

Patients are advised to seek medical attention in a timely manner for a detailed physical examination and diagnosis to determine the specific cause and develop a corresponding treatment plan. The specific treatment plan should be formulated according to the doctor's diagnosis and opinion, and the patient should seek medical attention as soon as possible and actively cooperate with the doctor's treatment.