[Spontaneous drainage of a pancreatic abscess into the digestive tract].
Pancreatic abscess is a serious complication of acute pancreatitis and the best treatment is surgical drainage, even when morbidity and mortality are high. We present a patient with a pancreatic abscess after cholecystectomy and bile duct drainage because of cholelithiasis and pancreatitis. The abscess was manifested by a palpable painful mass in the epigastrium, fever, leukocytosis, and confirmed by ultrasound. Through a nasogastric tube we drained necrotic and purulent material with gradual and complete recovery. This is the first case in our hospital in which a pancreatic abscess drained spontaneously into the digestive tract without requiring external drainage.
Vázquez
C J
CJ
Sigler
L
L
Carrasco
J A
JA
Avelar
F
F
D000038:Abscess / Q000150:complications* / Q000000981:diagnostic imaging / Q000628:therapy; D000328:Adult; D004322:Drainage; D005260:Female; D006801:Humans; D007441:Intubation, Gastrointestinal; D010182:Pancreatic Diseases / Q000150:complications* / Q000000981:diagnostic imaging / Q000628:therapy; D011859:Radiography
Drenaje espontáneo hacia el tubo digestivo de un absceso pancreático.