Pancreatic abscess

From WikiMD's medical encyclopedia


Pancreatic abscess
Synonyms
Pronounce N/A
Specialty Gastroenterology, Surgery
Symptoms Abdominal pain, fever, nausea, vomiting
Complications Sepsis, peritonitis, fistula formation
Onset
Duration
Types
Causes Complication of acute pancreatitis, pancreatic pseudocyst infection
Risks
Diagnosis CT scan, MRI, ultrasound, blood culture
Differential diagnosis Pancreatic pseudocyst, pancreatic necrosis, pancreatic cancer
Prevention Early treatment of acute pancreatitis, management of pancreatic pseudocyst
Treatment Antibiotics, percutaneous drainage, surgical drainage
Medication
Prognosis
Frequency Rare
Deaths


Pancreatic abscess is a late complication of acute pancreatitis, characterized by the presence of a well-defined collection of pus, usually in the lesser sac of the human body, which is anatomically situated behind the stomach, and in front of the pancreas.

Causes

The most common cause of a pancreatic abscess is severe pancreatitis, an inflammation of the pancreas. Other causes can include abdominal trauma, mumps, infectious mononucleosis, and other viral infections.

Symptoms

Symptoms of a pancreatic abscess can include abdominal pain, nausea, vomiting, fever, and a decreased level of consciousness. The pain is often severe and can be constant or intermittent.

Diagnosis

Diagnosis of a pancreatic abscess can be challenging. It is often made by a combination of clinical symptoms, laboratory tests, and imaging studies. Ultrasound and CT scan are commonly used imaging techniques.

Treatment

Treatment of a pancreatic abscess usually involves antibiotics and surgical drainage. In some cases, a percutaneous drainage procedure may be performed.

Prognosis

The prognosis for a pancreatic abscess is generally poor, with a high mortality rate. However, with early diagnosis and appropriate treatment, the prognosis can be improved.

See also

References

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Contributors: Prab R. Tumpati, MD