In Reutov, medical teams faced a severe case of acute pancreatitis in a patient whose abdominal cavity began to fill with fluid, triggering a rapid decline in her condition. The report from the Ministry of Health of the Moscow Region details how quickly the situation deteriorated and how urgent care was needed to stabilize the patient.
The woman, a 45-year-old resident of the Moscow region, was brought to the Reutov hospital with a diagnosis of acute pancreatitis. Her existing health issues, including diabetes and dehydration, compounded the severity of the attack. Upon arrival, her condition required intensive monitoring, and she was admitted to the intensive care unit where she faced fluid overload in the abdomen and lungs. To support her breathing, she was placed on mechanical ventilation.
Medical staff described the patient’s appearance during the crisis as markedly bloated, with the abdomen distended by excess fluid. In response, clinicians decided to undertake a series of renal replacement therapy sessions. Over the course of seven treatment sessions, this approach helped remove the surplus fluids and restore balance to her body fluids. As the patient’s condition began to stabilize, she slowly regained consciousness and was eventually able to be disconnected from the ventilator. This improvement allowed clinicians to shift focus toward recovery and rehabilitation.
The medical team reported the successful removal of approximately 25 liters of excess fluid from the patient’s body. This substantial reduction in edema and fluid overload contributed to a marked improvement in her overall status, paving the way for discharge from the hospital for outpatient follow-up and continued recovery.
The report highlights that the care plan in Reutov involved rapid assessment, careful fluid management, and advanced support measures to manage pancreatitis and its systemic effects. The case underscores the importance of multidisciplinary collaboration in managing acute pancreatitis complicated by dehydration and diabetes, as well as the critical role of renal replacement therapy in controlling fluid balance when traditional methods are insufficient.
Additional notes from regional medical centers indicate that similar challenges arise in other facilities when gallbladder pathology or biliary obstruction coincides with pancreatitis. In another instance supported by regional health services, a patient with a large gallstone was treated successfully in a neighboring facility, illustrating the broader context of acute biliary disease management in the region. The collective experience from these cases demonstrates that timely intervention, vigilant monitoring, and appropriate use of organ-support techniques can lead to meaningful recoveries even in high-risk patients.