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Definition Return to top
A pancreatic abscess is a cavity of pus within the pancreas.
Causes Return to top
Pancreatic abscesses develop in patients with pancreatic pseudocysts that become infected.
Symptoms Return to top
Exams and Tests Return to top
Patients with pancreatic abscesses usually have had pancreatitis. They usually develop fevers and abdominal pain, and have evidence of an abscess on an ultrasound, CT scan, or MRI of the abdomen.
Treatment Return to top
It may be possible to drain the abscess through the skin (percutaneous). Surgery to drain the abscess and remove dead tissue may be required.
Outlook (Prognosis) Return to top
How the person does depends on how severe the infection is. The death rate from undrained pancreatic abscesses is very high.
Possible Complications Return to top
When to Contact a Medical Professional Return to top
Call your health care provider if you have persistent abdominal pain with fever or other signs of a pancreatic abscess, particularly if you have recently had a pancreatic pseudocyst or pancreatitis.
Prevention Return to top
Adequate drainage of a pancreatic pseudocyst may help prevent some cases of pancreatic abscess. However, in many cases the disorder is not preventable.
References Return to top
Owyang C. Pancreatitis. In: Goldman L, Ausiello D, eds. Cecil Medicine. 23rd ed. Philadelphia, Pa: Saunders Elsevier; 2007: chap 147. Update Date: 12/19/2008 Updated by: David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine; George F. Longstreth, MD, Department of Gastroenterology, Kaiser Permanente Medical Care Program, San Diego, CA. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.