Acute Obstructive Suppurative Pancreatic Ductitis.
Acute obstructive suppurative pancreatic ductitis (AOSPD) is a rare clinical entity defined as suppuration from the pancreatic duct without concomitant pancreatic cyst, abscess, or necrosis. We describe a case of AOSPD in a woman with a past medical history of type 2 diabetes and chronic pancreatitis who presented with abdominal sepsis, which resolved only after therapeutic endoscopic retrograde cholangiopancreatography. Our case highlights the importance of considering AOSPD as a cause of abdominal sepsis particularly in patients with chronic pancreatitis or any recent pancreatic duct instrumentation and demonstrates that treatment requires prompt drainage and decompression of the pancreatic duct.
Kaiser Permanente Medical Center, San Francisco, CA.
Theodore
T
Tollivoro
Mayo Clinic, Rochester, MN.
Sandeep
S
Palakodeti
Kaiser Permanente Medical Center, San Francisco, CA.
Craig
C
Munroe